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Coverage Summary Auto Insurance This is your Declarations Page

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Coverage Summary Auto Insurance This is your Declarations Page Powered By Docstoc
					Form_SCTNID_CTGRY.MI03106489_DECPAGE




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                                                  PROGRESSIVE
                                                  P.O. BOX 31260
                                                  TAMPA, FL 33631


                                                                                                                                                                                               Policy Number: 31623995-0
                                                                                                                                                                                                    Underwritten by:
                                                                                                                                                                                                    Progressive Marathon Insurance Co
                                                                                                                                                                                                    December 26, 2011
                                                  DANIELLE S HINE
                                                                                                                                                                                                    Policy Period: Dec 15, 2011 - Jun 15, 2012
                                                  1830 KENT RD
                                                  ORTONVILLE, MI 48462                                                                                                                              Page 1 of 2

                                                                                                                                                                                               progressive.com
                                                                                                                                                                                                    Online Service
                                                                                                                                                                                                    Make payments, check billing activity, update
                                                                                                                                                                                                    policy information or check status of a claim.

                                                                                                        Auto Insurance                                                                         1-800-776-4737
                                                                                                                                                                                                    For customer service and claims service,
                                                                                                        Coverage Summary                                                                            24 hours a day, 7 days a week.


                                                                                                        This is your Declarations Page
                                                                                                        Your policy information has changed
                                                                                                        Your coverage began on December 15, 2011 at the later of 12:01 a.m. or the effective time shown on your application. This policy
                                                                                                        period ends on June 15, 2012 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 9610D MI (05/06). The contract is modified by forms Z445 MI (07/10) and 4884 MI (03/07).

                                                  Policy changes effective December 25, 2011
                                                                                                        ………………………………………………………………………………………………………………………………………………………..
                                                                                                        Changes requested on:                                 Dec 25, 2011
                                                                                                        ………………………………………………………………………………………………………………………………………………………..
                                                                                                        Premium change:                                       -$39.00
                                                                                                        ………………………………………………………………………………………………………………………………………………………..
                                                                                                        Changes:                                              An Electronic Funds Transfer (EFT) discount has been added to your policy.


                                                              household residents
                                                  Drivers and ………………………………………………………………………………………………………………………………………………………..
                                                                                      Additional information
                                                                                                        DANIELLE S HINE                                       Named insured

                                                  Outline of coverage
                                                                                                        2000 Mitsubishi Eclipse
                                                                                                        VIN 4A3AC54L7YE132228
                                                                                                        Primary use of the vehicle: Commute
                                                                                                                                Limits                 Deductible Premium
                                                                                                        ………………………………………………………………………………………………………………………………………………………..
                                                                                                        Liability To Others                                                                $219
                                                                                                          Bodily Injury Liability           $20,000 each person/$40,000 each accident
                                                                                                          Property Damage Liability         $10,000 each accident
                                                                                                        ………………………………………………………………………………………………………………………………………………………..
                                                                                                        Personal Protection Insurance (PIP)                                           $500  282
                                                                                                        Excess Medical/Excess Workloss
                                                                                                        ………………………………………………………………………………………………………………………………………………………..
                                                                                                        Uninsured/Underinsured Motorist $20,000 each person/$40,000 each accident
                                                                                                        ………………………………………………………………………………………………………………………………………………………..
                                                                                                                                                                                      8
                                                                                                        Property Protection Insurance   $1,000,000                                $0 37
                                                                                                        ………………………………………………………………………………………………………………………………………………………..
                                                                                                        Subtotal policy premium                                                                                                        $546.00
                                                                                                        ………………………………………………………………………………………………………………………………………………………..
                                                                                                        MCCA assessment recoupment                                                                                                         72.50
                                                                                                        ………………………………………………………………………………………………………………………………………………………..
                                                                                                        Statutory assessment recoupment                                                                                                        8.50
                                                                                                        ………………………………………………………………………………………………………………………………………………………..
                                                                                                        Total 6 month policy premium and fees                                                                                          $627.00




                                                                                                        Form 6489 MI (03/10)
                                                                                                                                                                                                                                                4
                                                                                                                                                                                                                                          Continued
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                                                                                                                                                                                     Policy Number: 31623995-0
                                                                                                                                                                                                DANIELLE S HINE
                                                                                                                                                                                                   Page 2 of 2

                                                  Premium discounts
                                                                                                        Policy
                                                                                                        ………………………………………………………………………………………………………………………………………………………..
                                                                                                        31623995-0              Paperless, Online Quote, Online Signature - First Policy Period Only, Continuous
                                                                                                                                Insurance: Platinum, Electronic Funds Transfer (EFT) and F1 credit
                                                                                                        Vehicle
                                                                                                        ………………………………………………………………………………………………………………………………………………………..
                                                                                                        2000 Mitsubishi         Airbag
                                                                                                        Eclipse




                                                                                                        Form 6489 MI (03/10)

				
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