HomeMy WebLinkAboutA1A BR Ins 2016mill
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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
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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