Form_SCTNID_CTGRY.
IL08176489_DECPAGE
943584306 N FB86020 INS DECPAGE U POLWHITEFONT VPSKWDJ4P4GPUZ6B4PCCQ3BMJE0002 RPUID TRACWHITEFONT
Progressive
P.O. Box 94739
Cleveland, OH 44101
Named insured Policy number: 943584306
Underwritten by:
Artisan and Truckers Casualty Co
November 16, 2020
Best Line INC Policy Period: Nov 13, 2020 - Nov 13, 2021
391 WOOD SIDE DR SUITE 214 Page 1 of 2
WOOD DALE, IL 60191
progressivecommercial.com
Online Service
Make payments, check billing activity, print
policy documents, update your policy or
check the status of a claim.
Commercial Auto 1-800-895-2886
Insurance Coverage Summary For customer service and claims service,
24 hours a day, 7 days a week.
This is your Declarations Page
Your coverage began the later of November 13, 2020 at 12:01 a.m. or the effective time shown on your application. This policy period
ends on November 13, 2021 at 12:01 a.m.
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 2852IL (05/15), 4757IL (09/04), Z434IL (12/11), MCS90
(01/17), MC1632 (06/04), 5701 (08/04), 4792A (02/06), Z435 (12/06), 4852IL (12/11) and 4881IL (12/11).
The named insured organization type is a corporation.
Artisan and Truckers Casualty Co is a stock company (NYSE:PGR).
PO Box 94739 Cleveland, OH 44101.
Outline of coverage
Auto coverage part
Description Limits Deductible Premium
………………………………………………………………………………………………………………………………………………………..
Liability To Others $14,216
Bodily Injury and Property Damage Liability $750,000 combined
………………………………………………………………………………………………………………………………………………………..
single limit
Uninsured Motorist $750,000 combined single limit
……………………………………………………………………………………………………………………………………………………….. 71
Underinsured Motorist $750,000 combined
……………………………………………………………………………………………………………………………………………………….. single limit 62
Medical Payments $25,000 each person 152
………………………………………………………………………………………………………………………………………………………..
Subtotal policy premium $14,501
Motor Truck Cargo coverage part
Description Limits Deductible Premium
………………………………………………………………………………………………………………………………………………………..
Motor Truck Cargo $100,000 $1,000 $2,271
………………………………………………………………………………………………………………………………………………………..
Subtotal policy premium $2,271
………………………………………………………………………………………………………………………………………………………..
Federal Filing Fee 35
………………………………………………………………………………………………………………………………………………………..
State Filing Fee 35
………………………………………………………………………………………………………………………………………………………..
Total 12 month policy premium and fees $16,842
Rated drivers
…………………………………………………………………………………………………………………………………………………..
1. Christopher P Shead
4
Continued
Form 6489 IL (08/17)
943584306 N FB86020 INS DECPAGE U POLWHITEFONT VPSKWDJ4P4GPUZ6B4PCCQ3BMJE0002 RPUID TRACWHITEFONT
Policy number: 943584306
Best Line INC
Page 2 of 2
Rated commodities
…………………………………………………………………………………………………………………………………………………..
1. CLOTHING AND SHOES (NON-DESIGNER)
…………………………………………………………………………………………………………………………………………………..
2. CANNED GOODS
Auto coverage schedule
1. 2016 FREIGHTLINER CASCADIA 125
VIN: 3AKJGLD5XGSFP7280 Garaging Zip Code: 60191 Radius: 500 miles
Personal use: N Body type: Truck Tractor
Liability UM UIM Med Pay
Liability Premium Premium Premium Premium Auto Total
………………………………………………………………………………………………………………………………………………
Premium $13786 $71 $62 $152 $14,071
2. 2030 Non-owned Attached Trailer **
VIN: None Garaging Zip Code: 60191 Radius: 500 miles
Personal use: N Body type: 20
Liability
Liability Premium Auto Total
………………………………………………………………………………………………………………………………………………
Premium $430 $430
**Non-Owned trailer but only while attached to a listed power unit specifically described on the declarations page.
Form 6489 IL (08/17)
