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Candidate Information
Title Customer Service Event Staff
Target Location US-FL-Fort Lauderdale
Phone Available with paid plan
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Form_SCTNID_CTGRY.FL05216489_DECPAGEStreet Address
Underwritten by:Progressive Select Insurance CoOctober 21, 2023Policy Period: Apr 29, 2023 - Oct 29, 2023Page 1 of 2Make payments, check billing activity, updateOnline Serviceprogressive.compolicy information or check status of a claim.For customer service and claims service,24 hours a day, 7 days a week.PHONE NUMBER AVAILABLEPROGRESSIVEP.O. BOX 31260TAMPA, FL 33631IAN SHIPMAN1350 N DIXIE HWY APT 63BOCA RATON, FL 33432Auto InsuranceCoverage SummaryThis is your Declarations PageYour policy information has changedYour coverage began on April 29, 2023 at the later of 12:01 a.m. or the effective time shown on your application. This policy period ends on October 29, 2023 at 12:01 a.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 forms A264 (10/18), A261 FL (08/21) and A340(01/22).Policy changes effective October 20, 2023Premium change: $9.45Changes: A Snapshot Participation discount has been removed from the 2020 MITSUBISHI OUTLANDER.Drivers and household residentsIan ShipmanAdditional information: Named insuredForm 6489 FL (05/21) 4Continued969250106 E IC94549 INS DECPAGE E POLWHITEFONT DVWCAAHPMF4EEFGYG37Q4IN74E0001 RPUID TRACWHITEFONT BDF_AA Policy Number: 969250106Ian ShipmanPage 2 of 2Outline of coverage2020 MITSUBISHI OUTLANDER 4 DOOR WAGONVIN: JA4AD3A37LZ028553Garaging ZIP Code: 33432Primary use of the vehicle: Pleasure/PersonalAnnual miles: 12,000 - 13,999Length of vehicle ownership when policy started or vehicle added: Less than 1 month Information regarding your vehicle history (prior damage or title issues) has impacted how we determine your premium.Limits Deductible Premium . Liability To OthersBodily Injury Liability $10,000 each person/$20,000 each accident $283Property Damage Liability $10,000 each accident 595 . Personal Injury Protection/Deductible applies to $10,000 $1,000/person 403 Named Insured/Spouse/Dependent Resident Relatives Work Loss ExcludedUninsured Motorist Rejected -- . Comprehensive Actual Cash Value $1,000 142 . Collision Actual Cash Value $1,000 518Total 6 month policy premium $1,941.00Premium discountsPolicy969250106 Five-Year Accident Free, Online Signature - First Policy Period Only, Electronic Funds Transfer (EFT), Online Quote, Continuous Insurance: Gold, Paperless and Three-Year Safe DrivingVehicle2020 MITSUBISHIOUTLANDERAnti-Lock Brakes, Driver and Passenger-side Airbag, Passive Anti-theft Device and Smart Technology DiscountSmart Technology Discount is a service mark of Progressive Casualty Ins. Co. Lienholder informationVehicle Lienholder2020 MITSUBISHI OUTLANDERJA4AD3A37LZ028553GLOBAL LENDING SVCSCARMEL, IN 46082Policyholder inquiriesYou 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 signatureCompany officersSecretaryForm 6489 FL (05/21)

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