Form_SCTNID_CTGRY.FL********_DECPAGE
<docindex><index>DECPAGE</index></docindex> BDF_AA
Policy Number: 977097806
Underwritten by:
Progressive Select Insurance Co
February 4, 2024
Policy Period: Feb 1, 2024 - Aug 1, 2024
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Make payments, check billing activity, update
Online Service
progressive.com
policy information or check status of a claim.
For customer service and claims service,
24 hours a day, 7 days a week.
PROGRESSIVE
P.O. BOX 31260
TAMPA, FL 33631
ERNESTO ARBOLAEZ DELGADO
2000 LUDLAM RD
APT 6
MIAMI, FL 33155
Auto Insurance
Coverage Summary
This is a copy of your
Declarations Page
Your 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 residents
Ernesto Arbolaez Delgado
Additional information: Named insured
Yailin Blanco Llanes
Additional information: excluded driver
Outline of coverage
2015 HONDA CIVIC 4 DOOR SEDAN
VIN: 19XFB2F52FE114018
Garaging ZIP Code: 33155
Primary use of the vehicle: Commute
Annual miles: 4,000 - 5,999
Length 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 Others
Bodily Injury Liability $10,000 each person/$20,000 each accident $110
Property Damage Liability $10,000 each accident 296 . Personal Injury Protection $10,000 $1,000/person 203 Deductible applies to You and Dependent Relatives
Uninsured Motorist Rejected --
Total 6 month policy premium $609.00
Premium discounts
Policy
977097806 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) 4
Continued
<docindex><index>DECPAGE</index></docindex> BDF_AA Policy Number: 977097806
Ernesto Arbolaez Delgado
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Vehicle
2015 HONDA
CIVIC
Anti-Lock Brakes, Driver and Passenger-side Airbag and Snapshot Participation Policyholder inquiries
You may call Customer Service at 1-800-***-**** to present inquiries or obtain information about coverage, and to obtain assistance with any complaints.
Agent signature
Company officers
Secretary
Form 6489 FL (09/22)