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Declarations Page - Copy

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PROGREIIIVE.
DIRECTAuto
PROGRESSIVE
P.O. BOX 31260
TAMPA, FL 33631
Policy Number: 952740085
Underwritten by:
Progressive Select Insurance Co April 15, 2023
Policy Period: April 15, 2023 -Apr1, 2024
Page 1 of 2
BETHANY COX
3020 NORTH 55TH AVENUE
PHOENIX, AZ 85031-3304
progressive.com
Online Service
Make payments, check billing activity, update
policy information or check status of a claim.
Auto Insurance
Coverage Summary
Th is is a copy of your
Declarations Page
1-800-776-4737
For Customer service and claims service,
24 hours a day, 7 days a week.
Your coverage began on April 15, 2023 at the later of 5:00 p.m. or the effective time shown on your application. This policy period ends on April 15, 2024 at 05:00 p.m.
This coverage summary replaces your prior one. Your insurance policy and any policy endorsements contain a full explanation of your coverage. The policy contract is form 9611D FL {07/17).
The contract is modified by form A261 FL (05/19).
Drivers and resident relatives
Additional information
Named Insured
Bethany Cox
Outline of coverage
2015 HONDA FIT LX
VIN: 1HGCR2F31FA109765
Garaging ZIP Code: 85031
Primary use of the vehicle: Commute
Length of vehicle ownership when policy started or vehicle added: Less than 1 month
Limits
Deductible
Premium
Liability To Others
Bodily Injury Liability
$10,000 each person/$20,000 each accident
$285
Property Damage Liability
$10,000 each accident
$592
Personal Injury Protection Deductible Applies to
$10,000 each accident
$1000/person
$750
Named Insured/Spouse/Dependent Resident Relatives Work Loss Excluded $10,000 each accident
......................................................................... ................................................................. ...................................
Uninsured Motorist
Rejected
............................................ ..........................................
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Comprehensive
Actual Cash Value
$1,000
115
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................................................................
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Collision
Actual Cash Value
$1,000
310
.................... .. ............. ... .... .. .................... . . .... ............. .. ............................... ............. .. .................... .. ..... ..
$2,052.00
Total 6 month policy premium
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Premium discounts
Policy
952740085
Vehicle
2015 HONDA
FIT
fcrrn 6489 H (01/18)
Electronic Funds Transfer (EFT), Home Owner, Online Quote, Continuous
Insurance Silver, Paperless and Three-Year Safe Driving
Anti-Lock Brakes, Driver and Passenger-side Airbag, Passive Anti-Theft Device and Snapshot Participation
I
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Policy Number: 952740085
Ca D Johnson
Page 2 of 2
Lienholder and additional interest information
Vehicle
2015 HONDA FIT
1HGCR2F31FA109765
Policyholder inquiries
Lienholder
Af title co dba financial
Memphis, TN 38115
Additional interest
Af title co dba financial
Memphis, TN 38115
You may call Customer Service at 1-800-776-4737 to present inquiries or obtain information about coverage, and to obtain assistance with any complaints.
Agent signature
Company officers
Secretary
fcrrn 6489 H (01/18)
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