Form_SCTNID_CTGRY.

UT02216489_DECPAGE

980597521 ? IC94549 INS DECPAGE E POLWHITEFONT SARKR6X5VWPQEKWGFQSJUZ6JFF0004 RPUID TRACWHITEFONT BDF_AA

PROGRESSIVE
P.O. BOX 31260
TAMPA, FL 33631

Policy Number: 980597521

Underwritten by:
Progressive Advanced Insurance Co
May 1, 2024
WAYNE ANDERSON
Policy Period: Apr 30, 2024 - Oct 30, 2024
2677 ALDEN ST
SALT LAKE CITY, UT 84106 Page 1 of 1

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

Auto Insurance 1-800-776-4737

Coverage Summary
For customer service and claims service,
24 hours a day, 7 days a week.

This is your Declarations Page

Your coverage began on April 30, 2024 at the later of 12:01 a.m. or the effective time shown on your application. This policy period
ends on October 30, 2024 at 12:01 a.m.
Your insurance policy and any policy endorsements contain a full explanation of your coverage. The policy contract is form 9611D UT
(12/14). The contract is modified by forms 4884 (10/08), Z357 (05/06), A221 UT (09/16) and A264 (02/22).
Progressive Advanced Insurance Co is an Ohio domiciled company.

Drivers and household residents

Wayne Anderson
Additional information: Named insured
Outline of coverage
1997 DODGE RAM 1500 CLUB CAB PICKUP
VIN: 1B7HF13Y5VJ568125
Garaging ZIP Code: 84106
Primary use of the vehicle: Pleasure/Personal
Annual miles: 12,000 - 13,999
Length of vehicle ownership when policy started or vehicle added: Less than 1 month
Limits Deductible Premium
………………………………………………………………………………………………………………………………………………………..
Liability To Others $547
Bodily Injury Liability $25,000 each person/$65,000 each accident
Property Damage Liability $15,000 each accident
………………………………………………………………………………………………………………………………………………………..
Personal Injury Protection $3,000 $0 18
………………………………………………………………………………………………………………………………………………………..
Uninsured Motorist Bodily Injury $25,000 each person/$65,000 each accident 5
………………………………………………………………………………………………………………………………………………………..
Underinsured Motorist Bodily Injury $25,000 each person/$65,000 each accident 16
………………………………………………………………………………………………………………………………………………………..
Comprehensive Actual Cash Value $500 17
………………………………………………………………………………………………………………………………………………………..
Collision Actual Cash Value $500 81
………………………………………………………………………………………………………………………………………………………..
Rental Reimbursement up to $60 each day/maximum 30 days 26
………………………………………………………………………………………………………………………………………………………..
Roadside Assistance 7
………………………………………………………………………………………………………………………………………………………..
Total 6 month policy premium $717.00

Premium discounts
Policy
………………………………………………………………………………………………………………………………………………………..
980597521 Online Signature - First Policy Period Only, Electronic Funds Transfer (EFT),
Home Owner, Online Quote and Paperless

Form 6489 UT (02/21)