Injections, charting, vitals, helping the physician
Resume:
Form_SCTNID_CTGRY.PA********_DECPAGE
********* Q IC94549 INS DECPAGE E POLWHITEFONT MZRECK37FO5LUH2NUF5J4UGEZH0003 RPUID TRACWHITEFONT Policy Number: 918362689
Underwritten by:
Progressive Advanced Insurance Co
April 30, 2018
Policy Period: Jun 2, 2018 - Dec 2, 2018
Page 1 of 3
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
NANCY J HEALY
61 1/2 NATRONA ST
NATRONA HEIGHTS, PA 15065
Auto Insurance
Coverage Summary
This is your Renewal
Declarations Page
The coverages, limits and policy period shown apply only if you pay for this policy to renew. Your coverage begins on June 2, 2018 at 12:01 a.m. This policy expires on December 2, 2018 at 12:01 a.m. Your insurance policy and any policy endorsements contain a full explanation of your coverage. The policy contract is form 9611D PA
(02/16). The contract is modified by forms 4884 (10/08), Z357 (01/07) and A230 (11/16). COLLISION COVERAGE FOR RENTAL VEHICLES
IF THIS POLICY PROVIDES COLLISION COVERAGE, IT WILL APPLY TO VEHICLES YOU RENT, BUT NOT TO VEHICLES RENTED FOR 6 MONTHS OR MORE.
FRAUD NOTICE
Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance or statement of claim containing any materially false information or conceals for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act, which is a crime and subjects such person to criminal and civil penalties.
Underwriting Company
Progressive Advanced Insurance Co
P.O. Box 31260
Tampa, FL 33631
Drivers and resident relatives Additional information
Nancy J Healy First Named insured
Todd Healy
Form 6489 PA (01/17) 4
Continued
918362689 Q IC94549 INS DECPAGE E POLWHITEFONT MZRECK37FO5LUH2NUF5J4UGEZH0003 RPUID TRACWHITEFONT Policy Number: 918362689
Nancy J Healy
Page 2 of 3
Outline of coverage
2012 FORD FOCUS 4 DOOR HATCHBACK
VIN: 1FAHP3K26CL276321
Garaging ZIP Code: 15065
Primary use of the vehicle: Commute
Length of vehicle ownership when policy started or vehicle added: At least 1 month but less than 1 year
Limits Deductible Premium . Liability To Others $758
Bodily Injury Liability $15,000 each person/$30,000 each accident
Property Damage Liability $25,000 each accident . First Party Benefits 105
Medical Expenses $5,000 each person
Funeral Benefit $2,500 each person 14 .
Accidental Death $25,000 16 . Uninsured Motorist - Stacked $15,000 each person/$30,000 each accident 19 . Underinsured Motorist - Stacked $15,000 each person/$30,000 each accident 30 . Comprehensive Actual Cash Value $500 94 . Collision Actual Cash Value $500 586 . Rental Reimbursement up to $40 each day/maximum 30 days 93 . Loan Lease Payoff 25% Of The Actual Cash Value 15 . Roadside Assistance 18
Total 6 month policy premium $1,748.00
Premium discounts
Policy
918362689 Five-Year Accident Free, Electronic Funds Transfer (EFT), Continuous Insurance: Platinum and Paperless
Vehicle
2012 FORD
FOCUS
Driver and Passenger-side Airbag and Anti-Theft Device Lienholder information
Vehicle Lienholder
2012 FORD FOCUS
1FAHP3K26CL276321
FORD MOTOR CREDIT
MINNEAPOLIS, MN 55439
Tort Option
This policy provides full tort insurance.
Information Regarding Your Premium
A surcharge of $446.00 due to violations or accidents is included in the total policy premium. Form 6489 PA (01/17) 4
Continued
918362689 Q IC94549 INS DECPAGE E POLWHITEFONT MZRECK37FO5LUH2NUF5J4UGEZH0003 RPUID TRACWHITEFONT Policy Number: 918362689
Nancy J Healy
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Notice of Available Premium Discounts
You may be eligible for discounts mandated by Act 6 of 1990:
• on first party benefits coverage if your car is equipped with a passive restraint system
• on comprehensive coverage if your car is equipped with a passive anti-theft device
• if all named insureds are 55 or older and have successfully completed a motor vehicle driver improvement course approved by PennDOT.
If you have any questions about your eligibility, please call Customer Service. Company officers
President Secretary
Form 6489 PA (01/17)
Contact this candidate