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HomeMy WebLinkAboutA1A BR Ins 2016mill qW.AlgINOINK& I AQZTJ M 545494 10945 1 AT 0.416 PGULS01Y 039 010945 Named insured AIIA MANAGEMENT 6811 N ATLANTIC AVE #C CAPE CANAVERAL, FL 32920 Commercial Auto Insurance Coverage Summary This is your Declarations Page Your coverage has changed Policy number: 02698220 - Underwritten by: Progressive Express Ins Company November 5, 2015 Policy Period: Sep 30, 2015 - Sep 30, 2016 Page I of 2 progressive.com Online Service Make payments, check billing activity, print policy documents, or check the status of a claim, 1-800-895-2886 For customer service and claims service, 24 hours a day, 7 days a week. Your coverage began the later of September 30, 2015 at 12:01 a.m. or at the time your application is executed on the first day of the policy period. This policy period ends on September 30, 2016 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 limits shown for an auto may not be combined with the limits for the same coverage on another auto, unless the policy contract allows the stacking of limits. The policy contract is form 6912 (06/10). The contract is modified by forms 2852FL (10104), 1652FL (08/12),4757FL (01/13),4852FL (10/04), 4881 FL (01/13) and Z228 (01/11). The named insured organization type is a corporation, Policy changes effective September 30, 2015 ...... ­ I . ... I .................. ............................................... Premium change: -$52.00 Changes; '' ', ' ..................................... * ... ... ..............Your'' , discount , information ,' , ''' , has , changed, The changes shown above will riot be effective prior to the time the changes were requested. EMM3ME=_ Description ... ­ ............... ..................... ...... Liability To Others Bodily Injury and Property Damage Liability . ......... ........ ...... .. . .. ... .... ........ Uninsured Motorist Non -Stacked -1 .... ......................... Basic Personal Injury Protection Without Work Comp -Named Insured Only Mic .ed''ai Pa'y­Fn­e­n't's­ * ....... ­* ......... ­* ......... Total 12 month policy premium 1, DAVID LANE Form 6489 FL (01(15) Limits $500,000 combined single limit $500,000 combined single limit ............... 10,000 each person ..... ­.. ... ........... $5,000 each person OkQ r\ 4 Deductible Premium $824 $0 429 47 N, 9111 Continued Auto coverage schedule 1. 2002 Toyota Tundra VIN: 5TBRT38112S296071 Liability Liability LIMAJIM 131 ............ Premium $824 $429 Premium discounts Policy ............ I .......... 02698220-0 Vehicle 2002 Toyota Tundra Agent signature Secretary Form 6489 FL (01/15) Garaging Zip Code: 32920 PIP Med Pay ..." ....... I., .... ................... .............. $47 $18 ......................... I ........ I I ........ I ..... I ... ....................... Business Experience, Paid In Full and Package ........................................... Anti -Lock Brakes and Air Bag Policy number: 02698220-0 AIA MANAGEMENT Page 2 of 2 Radius: 50 Auto Total ........... $1,318