Secretary Agent
Resume:
Form_SCTNID_CTGRY.PA********_DECPAGE
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Policy Number: 963846265
Underwritten by:
Progressive Specialty Insurance Co
March 18, 2023
Policy Period: Dec 1, 2022 - Jun 1, 2023
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GUIDED INSURANCE SOL
4904 EISENHOWER #350
TAMPA, FL 33634
JAMES TAYLOR
103 OVERLAND AVE
DUQUESNE, PA 15110
Auto Insurance
Coverage Summary
This is a copy of your
Declarations Page
Your coverage began on December 1, 2022 at the later of 12:01 a.m. or the effective time shown on your application. This policy period ends on June 1, 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 9611A PA (02/16) . The contract is modified by form 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 Specialty Insurance Co
P.O. Box 6807
Cleveland, OH 44101
Drivers and resident relatives Additional information
James Taylor First Named insured
Form 6489 PA (08/19) 4
Continued
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Policy Number: 963846265
James Taylor
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Outline of coverage
2005 SUBARU LEGACY OUTBACK STATION WAGON
VIN: 4S4BP61C257331303
Garaging ZIP Code: 15110
Primary use of the vehicle: Commute
Length of vehicle ownership when policy started or vehicle added: At least 1 year but less than 3 years
Limits Deductible Premium . Liability To Others $172
Bodily Injury Liability $50,000 each person/$100,000 each accident
Property Damage Liability $25,000 each accident . First Party Benefits 22
Medical Expenses $5,000 each person
Uninsured Motorist Rejected -- . Underinsured Motorist Rejected -- . Roadside Assistance 5
Total 6 month policy premium $199.00
Premium discounts
Policy
963846265 Five-Year Accident Free, Home Owner, Continuous Insurance: Platinum, Paperless, Paid in Full and Three-Year Safe Driving
Vehicle
2005 SUBARU
LEGACY OUTBACK
Driver and Passenger-side Airbag
Tort Option
This policy provides limited tort insurance.
Company officers
President Secretary
Form 6489 PA (08/19)
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