This document is an auto insurance quote for James Smith. It provides premium amounts for a 6 month policy period with different payment plan options. The total policy premium is $4,514 but James would receive a $714 discount if paying in full, bringing the premium to $3,800. Various payment plans are outlined, ranging from 5 to 6 monthly installments. The document also lists James as the only driver and household resident. It provides details on coverages and deductibles for James' 2000 Toyota Corolla.

1. Form_SCTNID_CTGRY.MA0717QUOTE_QUOTE
Underwritten by:
Progressive Casualty Insurance Co
January 22, 2021
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Customer: James Smith
home:
work:
PREMIER SHIELD INS
482 SOUTHBRIDGE ST
AUBURN, MA 01501
JAMES SMITH
96 ITASCA ST
MATTAPAN, MA 02126
Auto Insurance Quote
Thank you for contacting me about your auto insurance needs.
Quote for a 6 month policy period
If you pay your premium in full, you will receive a discount as shown.
Total policy premium
………………………………………………………………………………………………………………………………………………………..
$4,514.00
………………………………………………………………………………………………………………………………………………………..
Paid in full discount -714.00
Policy premium if paid in full
………………………………………………………………………………………………………………………………………………………..
$3,800.00
If you select a paid in full bill plan, you will not be charged an installment fee.
Payment plans
Our standard fee for most installment payment plans is $8.00. The EFT payment plan automatically withdraws your
payments from your checking account and offers a reduced fee of $4.00 per installment.
Automatic Payments by Electronic Funds Transfer (EFT) assures that your payment is on time. Each payment
(excluding the initial payment) includes an installment fee of $4.00.
Payment plan Total premium Initial payment Payments
………………………………………………………………………………………………………………………………………………………..
6 Payments $4,039.00 $1,009.75 5 payments of $609.85
………………………………………………………………………………………………………………………………………………………..
5 Payments $4,039.00 $1,211.70 4 payments of $710.83
………………………………………………………………………………………………………………………………………………………..
5 Payments $4,039.00 $1,110.73 4 payments of $736.07
………………………………………………………………………………………………………………………………………………………..
6 Payments $4,039.00 $1,009.75 5 payments of $609.85
………………………………………………………………………………………………………………………………………………………..
5 Payments $4,039.00 $1,211.70 4 payments of $710.83
Automatic Payments by card assures that your payment is on time. Each payment (excluding the initial payment)
includes an installment fee of $8.00.
Payment plan Total premium Initial payment Payments
………………………………………………………………………………………………………………………………………………………..
6 Payments $4,039.00 $1,009.75 5 payments of $613.85
………………………………………………………………………………………………………………………………………………………..
5 Payments $4,039.00 $1,211.70 4 payments of $714.83
………………………………………………………………………………………………………………………………………………………..
5 Payments $4,039.00 $1,110.73 4 payments of $740.07
………………………………………………………………………………………………………………………………………………………..
6 Payments $4,039.00 $1,009.75 5 payments of $613.85
………………………………………………………………………………………………………………………………………………………..
5 Payments $4,039.00 $1,211.70 4 payments of $714.83
Make payments by mail or at progressiveagent.com. Each payment (excluding the initial payment) includes an
installment fee of $8.00.
Payment plan Total premium Initial payment Payments
………………………………………………………………………………………………………………………………………………………..
6 Payments $4,514.00 $1,128.50 5 payments of $685.10
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………………………………………………………………………………………………………………………………………………………..
5 Payments $4,514.00 $1,241.35 4 payments of $826.17
To purchase insurance
Please review the information on your quote for accuracy; incomplete and inaccurate information could affect your rate.
These rates are subject to verification of information. If you have any questions or would like to purchase a Progressive
policy, please call me at 1-774-847-7746. Your coverage will begin once your initial payment has been received.
Thanks again for the opportunity to work with you.
Drivers and household residents
Furnish information for the applicant and each individual who customarily operates the auto(s) whether or not a
household member. Your failure to list a household member or any individual who customarily operates your auto may
have very serious consequences. Your total policy premium can be affected by all persons of driving age. While
designating drivers as excluded may increase policy premium, the violation and accident history of excluded drivers does
not affect premium.
Name Date of birth
………………………………………………………………………………………………………………………………………………………..
James Smith Jan 22, 2003
License status Operator status
Years licensed
Valid 02 Rated
Household residents
Total residents:
The total number of residents currently residing in your household, including listed drivers, young children, roommates or
anyone else living in the home for 60 days or more during the next 12 months.
1
NOTICE: If you or someone else on your behalf knowingly gives us false, deceptive, misleading or incomplete information
in this application and if such false, deceptive, misleading or incomplete information increases our risk of loss, we may
refuse to pay claims under any or all of the Optional Insurance Parts and we may cancel your policy. Such information
includes the description and the place of garaging of the vehicle(s) to be insured, the names of all household members and
customary operators required to be listed and the answers given above for all listed operators. We may also limit our
payments under Part 3 and Part 4.
We will not pay for a collision or limited collision loss for an accident which occurs while your auto is being operated by a
household member who is not listed as an operator on your policy. Payment is withheld when the household member, if
listed, would require the payment of additional premium on your policy because the household member would be
classified as an inexperienced operator or would require payment of additional premium on your policy under our rates.
License information
Once you or the principal operator listed on this application become a resident of Massachusetts, you or the principal
operator must obtain a Massachusetts driver's license. A resident of another state may drive in Massachusetts with a
currently valid license issued by the individual's state of residence. A visitor from another country who is at least 18
years old and has a valid license issued by a country accepted by the Registrar of Motor Vehicles (in accordance with
the 1949 Road Traffic Convention or the 1943 Inter-American Automotive Traffic Convention) may legally drive in
Massachusetts for up to one year from the date of arrival in the United States. The failure by you or the principal
operator to be properly licensed to operate a motor vehicle in Massachusetts may result in the non-renewal of the
automobile insurance policy. For information about the Massachusetts requirements for driver's licenses, please
consult the Registry of Motor Vehicle's website at www.massrmv.com.
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Outline of coverage
Auto 1
2000 TOYOTA COROLLA 4 DOOR SEDAN
VIN:
Principal garaging address: 02126
Primary use of the vehicle: Pleasure
Length of vehicle ownership when policy started or vehicle added: Less than 1 month
Coverages Parts 1-12
Compulsory insurance Limits Deductible Premium
………………………………………………………………………………………………………………………………………………………..
Bodily Injury to Others (Part 1) $20,000 each person/$40,000 each accident $2,157
………………………………………………………………………………………………………………………………………………………..
Personal Injury Protection (Part 2) $8,000 each person $0 389
………………………………………………………………………………………………………………………………………………………..
Bodily Injury Caused by An Uninsured Auto (Part 3) $20,000 each person/$40,000 each accident 32
(Compulsory Limits $20,000/$40,000)
………………………………………………………………………………………………………………………………………………………..
Damage to Someone Else's Property (Part 4) $5,000 each accident 1,217
(Compulsory Limit $5,000)
Optional insurance Limits Deductible Premium
………………………………………………………………………………………………………………………………………………………..
Optional Bodily Injury to Others (Part 5) $20,000 each person/$40,000 each accident 5
………………………………………………………………………………………………………………………………………………………..
Total 6 month policy premium, with paid in full discount $3,800.00
Premium discounts
………………………………………………………………………………………………………………………………………………………..
Policy
Paid in Full and Paperless
Form QUOTE MA (07/17)