Vessel Berthing Waitlist Application Jodrey State Fish Pier, Gloucester Massachusetts

Vessel Berthing Waitlist Application Jodrey State Fish Pier, Gloucester Massachusetts

To request berthing at Jodrey State Fish Pier please, complete this application. A confirmation will be emailed to you. Please be advised that Jodrey State Fish Pier berths are reserved for commercial maritime activities. You will be required to show proof of active commercial fishing. Application submissions do not guarantee selection or availability.

Owner First Name*

Owner Last Name*

Address*

City*

State*

Zip Code*

Phone Number*

email*

Business Information

Business Name

Business Address

Business City

Business State

Business Zip Code

Vessel Information

Vessel Name*

Vessel Length (Ft)*

Vessel Beam (Ft)*

Vessel Draft (Ft)*

Hull Material

Select

Reg/Doc Numbers*

Current Berthing Location*

Date of Last Vessel Survey*

Berthing Size (Size of berth that vessel requires)*

Select

Notes

Representations and Warranties

BONA FIDE COMMERCIAL FISHERMAN: The undersign certifies he/she/they are a bona fide commercial fisherman and that: 1) vessel holds a valid state or federal commercial fishing permit; 2) fish landed by the vessel have been sold within the last year 3) the vessel is equipped and rigged to actively commence commercial fishing. Release of Credit Information: You are authorized to make all inquiries deemed necessary to verify the accuracy of this information contained herein and to determine the credit-worthiness of the undersigned. The undersigned authorizes any person or consumer reporting agency to give you any information it may have on the undersigned. The undersigned authorizes you to answer questions about your credit experience with the undersigned. As long as any obligations or guarantee of the undersigned to you is outstanding, the undersigned shall supply annually an updated financial statement. This personal financial statement and any other financial information that the undersigned gives you shall be your property. Check the below box if you attest that the information in this application is correct to the best of your knowledge.

Signature*

Date*

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