This is an example of an insurance quote for an auto policy with Progressive Insurance in Amesbury MA. It highlights how cheap we're able to get the annual auto insurance premium for preferred homeowners who bundle multiple lines of insurance (Home, Auto, Umbrella, Motorcycle, Commercial Auto, Travel Trailer, and more)

1. Form_SCTNID_CTGRY.MA0717QUOTE_QUOTE
Underwritten by:
Progressive Casualty Insurance Co
December 17, 2019
Page of1 3
Customer: John J Smith
home:
work:
PREMIER SHIELD INS
482 SOUTHBRIDGE ST
AUBURN, MA 01501
John J Smith
75 Highland St
Amesbury, MA 01913
Auto Insurance Quote
Thank you for contacting me about your auto insurance needs.
Quote for a 12 month policy period
If you pay your premium in full, you will receive a discount as shown.
Total policy premium
………………………………………………………………………………………………………………………………………………………..
$679.00
………………………………………………………………………………………………………………………………………………………..
Paid in full discount -144.00
Policy premium if paid in full
………………………………………………………………………………………………………………………………………………………..
$535.00
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 $5.00. The EFT payment plan automatically withdraws your
payments from your checking account and offers a reduced fee of $1.00 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 $1.00.
Payment plan Total premium Initial payment Payments
………………………………………………………………………………………………………………………………………………………..
11 Payments $656.00 $82.00 10 payments of $58.40
………………………………………………………………………………………………………………………………………………………..
11 Payments $656.00 $109.36 10 payments of $55.67
………………………………………………………………………………………………………………………………………………………..
12 Payments $656.00 $54.65 11 payments of $55.67
Automatic Payments by card assures that your payment is on time. Each payment (excluding the initial payment)
includes an installment fee of $5.00.
Payment plan Total premium Initial payment Payments
………………………………………………………………………………………………………………………………………………………..
11 Payments $656.00 $82.00 10 payments of $62.40
………………………………………………………………………………………………………………………………………………………..
11 Payments $656.00 $109.36 10 payments of $59.67
………………………………………………………………………………………………………………………………………………………..
12 Payments $656.00 $54.65 11 payments of $59.67
Make payments by mail or at progressiveagent.com. Each payment (excluding the initial payment) includes an
installment fee of $5.00.
Payment plan Total premium Initial payment Payments
………………………………………………………………………………………………………………………………………………………..
11 Payments $679.00 $84.88 10 payments of $64.42
………………………………………………………………………………………………………………………………………………………..
11 Payments $679.00 $113.19 10 payments of $61.59
………………………………………………………………………………………………………………………………………………………..
12 Payments $679.00 $56.56 11 payments of $61.59
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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
………………………………………………………………………………………………………………………………………………………..
John J Smith Dec 9, 1956
License status Operator statusYears licensed
Valid 47 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
2020 TOYOTA RAV4 4 DOOR WAGON
VIN:
Principal garaging address: 01913
Primary use of the vehicle: Pleasure
Length of vehicle ownership when policy started or vehicle added: Less than 1 month
This vehicle is currently enrolled in the SnapshotH Program.
Coverages Parts 1-12
Compulsory insurance Limits Deductible Premium………………………………………………………………………………………………………………………………………………………..
Bodily Injury to Others (Part 1) $20,000 each person/$40,000 each accident $101………………………………………………………………………………………………………………………………………………………..
Personal Injury Protection (Part 2) $8,000 each person $0 13
………………………………………………………………………………………………………………………………………………………..
Bodily Injury Caused by An Uninsured Auto (Part 3) $250,000 each person/$500,000 each accident 10
(Compulsory Limits $20,000/$40,000)
………………………………………………………………………………………………………………………………………………………..
Damage to Someone Else's Property (Part 4) $100,000 each accident 103
(Compulsory Limit $5,000)
Optional insurance Limits Deductible Premium
………………………………………………………………………………………………………………………………………………………..
Optional Bodily Injury to Others (Part 5) $250,000 each person/$500,000 each accident 38
………………………………………………………………………………………………………………………………………………………..
Medical Payments (Part 6) $5,000 each person 10
………………………………………………………………………………………………………………………………………………………..
Collision (Part 7) Actual Cash Value $500 w/waiver 171
………………………………………………………………………………………………………………………………………………………..
Comprehensive (Part 9) Actual Cash Value $500 38
Comprehensive Window Glass $100 glass
………………………………………………………………………………………………………………………………………………………..
Substitute Transportation (Part 10) $40 a day for a maximum of 30 days 28………………………………………………………………………………………………………………………………………………………..
Bodily Injury Caused by An Underinsured Auto $250,000 each person/$500,000 each accident 13
(Part 12)
………………………………………………………………………………………………………………………………………………………..
Roadside Assistance 10
………………………………………………………………………………………………………………………………………………………..
Total 12 month policy premium, with paid in full discount $535.00
Premium discounts
………………………………………………………………………………………………………………………………………………………..
Policy
Multi-Policy, Three-Year Safe Driving, Paid in Full, Continuous Insurance:
Platinum, Paperless, Residence Insurance and Five-Year Accident Free
………………………………………………………………………………………………………………………………………………………..
Vehicle
2020 TOYOTA
RAV4
Snapshot Participation and Smart Technology Discount
Form QUOTE MA (07/17)