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| | Click here or scroll down to respond to this candidateForm_SCTNID_CTGRY.FL09226489_DECPAGE<docindex><index>DECPAGE</index></docindex> BDF_AAPolicy Number: Street Address
Underwritten by:Progressive Select Insurance CoFebruary 4, 2024Policy Period: Feb 1, 2024 - Aug 1, 2024Page 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 33631ERNESTO ARBOLAEZ DELGADO2000 LUDLAM RDAPT 6MIAMI, FL 33155Auto InsuranceCoverage SummaryThis is a copy of yourDeclarations PageYour coverage began on February 1, 2024 at the later of 12:01 a.m. or the effective time shown on your application. This policy period ends on August 1, 2024 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 Z195 FL (06/21), A340 (01/22), A261 FL(09/22), A379 FL (02/23), A264 (02/22) and A331 (11/21). Drivers and household residentsErnesto Arbolaez DelgadoAdditional information: Named insuredYailin Blanco LlanesAdditional information: excluded driverOutline of coverage2015 HONDA CIVIC 4 DOOR SEDANVIN: 19XFB2F52FE114018Garaging ZIP Code: 33155Primary use of the vehicle: CommuteAnnual miles: 4,000 - 5,999Length of vehicle ownership when policy started or vehicle added: At least 6 months but less than 1 year This vehicle is currently enrolled in the Snapshot Program.Limits Deductible Premium . Liability To OthersBodily Injury Liability $10,000 each person/$20,000 each accident $110Property Damage Liability $10,000 each accident 296 . Personal Injury Protection $10,000 $1,000/person 203 Deductible applies to You and Dependent RelativesUninsured Motorist Rejected --Total 6 month policy premium $609.00Premium discountsPolicy977097806 Paid in Full, Five-Year Accident Free, Online Signature - First Policy Period Only, Online Quote, Continuous Insurance: Silver and Three-Year Safe Driving Form 6489 FL (09/22) 4Continued<docindex><index>DECPAGE</index></docindex> BDF_AA Policy Number: 977097806Ernesto Arbolaez DelgadoPage 2 of 2Vehicle2015 HONDACIVICAnti-Lock Brakes, Driver and Passenger-side Airbag and Snapshot Participation Policyholder 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 (09/22) |