You are on page 1of 1

9/16/2020 10:55 AM SR: TMM

Auto Quotation
Insured: DONAVAN MATERNE
Policy Period: 2020 - 2021

Description of Vehicles
Insured Amount Deductible Premium
Vehicle #1 1995 HONDA CIVIC LIABILITY $305.00
Vehicle #2
Vehicle #3
Vehicle #4
Vehicle #5
Vehicle #6
Vehicle #7

Total Premium $305.00

Discounts
No-Claims Discount 0%
Multi-Car Discounts 10%
Good Student Discount 0%
Drivers Training Discount 0%
Limits of Liability
Bodily Injury $25,000 per person $50,000 each accident
Property Damage $20,000 each accident
Full Coverage Options
Medical Payments N/A
Uninsured Motorists $15,000 per person $30,000 each accident
Loss of Use / Broad Form
PAYMENT OPTIONS
PAY IN FULL GovGuam or Commercial Payroll
FULL PREMIUM $305.00 24 $12.71
26 $11.73
48 $6.35
Monthly Payment Agreement Automatic Credit Card Deductions
30% Down Payment $91.50 Down Payment $27.73
4 Monthly Payments $53.38 Bi-Weekly $13.86
6 Monthly Payments $35.58 Monthly $27.73

Insured Signature Date

SW AQ 8-2017

You might also like