Form_SCTNID_CTGRY.

FL12236489_DECPAGE

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PROGRESSIVE
P.O. BOX 31260
TAMPA, FL 33631

Policy Number: 980691359

Underwritten by:
Progressive Select Insurance Co
May 28, 2024
JONATHAN W MORRIS
Policy Period: May 1, 2024 - Nov 1, 2024
3672 CRESCENT PARK BLVD
ORLANDO, FL 32812 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 May 1, 2024 at the later of 12:01 a.m. or the effective time shown on your application. This policy period
ends on November 1, 2024 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 contract is form 9611D FL (07/17). The contract is modified by forms A340 (01/22), A261 FL (09/22), A379 FL
(02/23), A264 (02/22), A331 (11/21) and A229 FL (07/23).

Drivers and household residents

Jonathan W Morris
Additional information: Named insured
Jacinta M Mathis
Outline of coverage
2020 RAM RAM 1500 CREW PICKUP
VIN: 1C6RREDT3LN262107
Garaging ZIP Code: 32812
Primary use of the vehicle: Commute
Annual miles: 8,000 - 9,999
Length of vehicle ownership when policy started or vehicle added: At least 1 year but less than 3 years
This vehicle is currently enrolled in the Snapshot® Program.
Limits Deductible Premium
………………………………………………………………………………………………………………………………………………………..
Liability To Others
Bodily Injury Liability $10,000 each person/$20,000 each accident $493
Property Damage Liability $10,000 each accident 692
………………………………………………………………………………………………………………………………………………………..
Personal Injury Protection/Deductible applies to $10,000 $1,000/person 382
Named Insured/Spouse/Dependent Resident Relatives Work Loss Excluded
………………………………………………………………………………………………………………………………………………………..
Uninsured Motorist Rejected --
………………………………………………………………………………………………………………………………………………………..
Comprehensive Actual Cash Value $1,000 168
………………………………………………………………………………………………………………………………………………………..
Collision Actual Cash Value $1,000 551
………………………………………………………………………………………………………………………………………………………..
Total 6 month policy premium $2,286.00

Form 6489 FL (12/23)

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Policy Number: 980691359

Jonathan W Morris
Page 2 of 2

Premium discounts
Policy
………………………………………………………………………………………………………………………………………………………..
980691359 Automatic Card Payments (ACP), Online Signature - First Policy Period Only,
Home Owner, Online Quote, Continuous Insurance: Platinum and Paperless
Driver
………………………………………………………………………………………………………………………………………………………..
Jonathan W Morris Safety Course
Jacinta M Mathis Safety Course
Vehicle
………………………………………………………………………………………………………………………………………………………..
2020 RAM Anti-Lock Brakes, Driver and Passenger-side Airbag, Passive Anti-theft Device
RAM 1500 and Snapshot Participation

Lienholder information
Vehicle Lienholder
………………………………………………………………………………………………………………………………………………………..
2020 RAM RAM 1500 WELLS FARGO AUTO FIN
1C6RREDT3LN262107 PHOENIX, AZ 85038

A11Y LEH End Locator

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 (12/23)