Form_SCTNID_CTGRY.

FL05216489_DECPAGE

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PROGRESSIVE
P.O. BOX 31260
TAMPA, FL 33631

Policy Number: 51021228

Underwritten by:
Progressive Select Insurance Co
June 14, 2023
SANDRA K DUDLEY
Policy Period: Jun 10, 2023 - Dec 10, 2023
226 5TH ST SW
HAVANA, FL 32333 Page 1 of 2

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 a copy of your

Declarations Page
Your coverage began on June 10, 2023 at 12:01 a.m. This policy expires on December 10, 2023 at 12:01 a.m.
This coverage summary replaces your prior one. Your insurance policy and any policy endorsements contain a full explanation of your
coverage. The policy limits shown for a vehicle may not be combined with the limits for the same coverage on another vehicle, unless
the policy contract or endorsements indicate otherwise. The policy contract is form 9611D FL (07/17). The contract is modified by
forms A264 (10/18), A261 FL (08/21) and A340 (01/22).

Drivers and household residents

Sandra K Dudley
Additional information: Named insured
Walter H Marcus
MADISON C DUDLEY MARCUS
Outline of coverage
2020 HONDA ACCORD 4 DOOR SEDAN
VIN: 1HGCV1F45LA072326
Garaging ZIP Code: 32333
Primary use of the vehicle: Commute
Annual miles: 6,000 - 7,999
Length of vehicle ownership when policy started or vehicle added: Less than 1 month
Limits Deductible Premium
………………………………………………………………………………………………………………………………………………………..
Liability To Others
Bodily Injury Liability $25,000 each person/$50,000 each accident $260
Property Damage Liability $25,000 each accident
………………………………………………………………………………………………………………………………………………………..
316
Personal Injury Protection/Deductible applies to $10,000 $0 244
Named Insured/Spouse/Dependent Resident Relatives
………………………………………………………………………………………………………………………………………………………..
Uninsured Motorist - Nonstacked $25,000 each person/$50,000 each accident 141
………………………………………………………………………………………………………………………………………………………..
Comprehensive Actual Cash Value $500 76
………………………………………………………………………………………………………………………………………………………..
Collision Actual Cash Value $500 532
………………………………………………………………………………………………………………………………………………………..
Total premium for 2020 HONDA $1,569

Form 6489 FL (05/21)

4
Continued
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Policy Number: 51021228

Sandra K Dudley
Page 2 of 2
2011 HONDA PILOT 4 DOOR WAGON
VIN: 5FNYF3H60BB002704
Garaging ZIP Code: 32333
Primary use of the vehicle: Pleasure/Personal
Annual miles: 8,000 - 9,999
Length of vehicle ownership when policy started or vehicle added: Less than 1 month
Information regarding your vehicle history (prior damage or title issues) has impacted how we determine your premium .
Limits Deductible Premium
………………………………………………………………………………………………………………………………………………………..
Liability To Others
Bodily Injury Liability $25,000 each person/$50,000 each accident $602
Property Damage Liability $25,000 each
………………………………………………………………………………………………………………………………………………………..
accident 555
Personal Injury Protection/Deductible applies to $10,000 $0 374
Named Insured/Spouse/Dependent Resident Relatives
………………………………………………………………………………………………………………………………………………………..
Uninsured Motorist - Nonstacked $25,000 each person/$50,000 each accident
………………………………………………………………………………………………………………………………………………………..
236
Comprehensive Actual Cash Value
………………………………………………………………………………………………………………………………………………………..
$500 50
Collision Actual Cash Value
………………………………………………………………………………………………………………………………………………………..
$500 364
Total premium for 2011 HONDA $2,181
………………………………………………………………………………………………………………………………………………………..
Total 6 month policy premium $3,750.00

Premium discounts
Policy
………………………………………………………………………………………………………………………………………………………..
51021228 Multi-Policy, Paid in Full, Home Owner, Multi-Car, Continuous Insurance:
Diamond and Paperless
Vehicle
………………………………………………………………………………………………………………………………………………………..
2020 HONDA Anti-Lock Brakes, Driver and Passenger-side Airbag, Passive Anti-theft Device
ACCORD and Smart Technology Discount
2011 HONDA Anti-Lock Brakes, Driver and Passenger-side Airbag and Passive Anti-theft
PILOT Device

Smart Technology Discount ℠ is a service mark of Progressive Casualty Ins. Co.

Policyholder inquiries
You may call Customer Service at 1-800-776-4737 to present inquiries or obtain information about coverage, and to
obtain assistance with any complaints.

Agent signature

Company officers

Secretary

Form 6489 FL (05/21)