Form_SCTNID_CTGRY.

MO03236489_DECPAGE

976729598 E IC94586 INS DECPAGE E POLWHITEFONT BU7EXRNJBICJUZCXNK4Y4O6Y4E0002 RPUID TRACWHITEFONT BDF_AA

PROGRESSIVE
P.O. BOX 31260
TAMPA, FL 33631

Policy Number: 976729598

Underwritten by:
Progressive Advanced Insurance Co
CHERYL ASHER November 7, 2024
DONALD M HAY
Policy Period: Jul 22, 2024 - Jan 22, 2025
17311 E US HWY 40 LOT C9
INDEPENDENCE, MO 64055 Page 1 of 3

progressive.com
Online Service
Make payments, check billing activity, update
policy information or check status of a claim.

Auto Insurance 1-800-776-4737

Declarations Page
For customer service and claims service,
24 hours a day, 7 days a week.
P.O. Box 31260
Your policy information has changed Tampa, FL 33631

Your coverage began on July 22, 2024 at 12:01 a.m. This policy expires on January 22, 2025 at 12:01 a.m.
This Declarations Page replaces your prior one. Your insurance policy and any policy endorsements contain a full explanation of your
coverage. The policy contract is form 9611D MO (08/15). The contract is modified by forms 4884 (10/08), Z632 MO (12/07), Z357
(01/07), A264 MO (04/22) and A331 (11/21).
Please note: The Policy Contract listed above is not mailed and can be found at
https://www.progressive.com/support/legal/policy-contracts/. There you’ll have the option to print or save the
Policy Contract. You can also view your complete Policy Package, including the Policy Contract, by logging in to
your account or you can request a mailed copy at no charge by calling 1-800-776-4737.

Policy changes effective November 7, 2024

………………………………………………………………………………………………………………………………………………………..
Changes requested on: Nov 7, 2024 04:12 p.m.
………………………………………………………………………………………………………………………………………………………..
Requested by: Cheryl Asher
………………………………………………………………………………………………………………………………………………………..
Premium change: -$203.60
………………………………………………………………………………………………………………………………………………………..
Changes: An Electronic Funds Transfer (EFT) discount has been added to your policy.
Your payment option was changed to Electronic Funds Transfer (EFT).

The changes take effect as of the date and time requested shown above.

Drivers and/or household residents

Cheryl Asher
Additional information: Named insured
Donald M Hay
Additional information: Named insured

Form 6489 MO (03/23)

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976729598 E IC94586 INS DECPAGE E POLWHITEFONT BU7EXRNJBICJUZCXNK4Y4O6Y4E0002 RPUID TRACWHITEFONT BDF_AA

Policy Number: 976729598

Cheryl Asher
Donald M Hay
Page 2 of 3

Outline of general policy coverages

All limits listed below are subject to all terms, conditions, exclusions and applicable reductions described in the policy.
General policy coverages apply to all listed vehicles unless indicated otherwise. With the exception of Uninsured Motorist
coverage, no limit of liability shall be multiplied, added to itself, or combined or stacked with itself. The Uninsured Motorist
coverage limit may be stacked with itself only to the extent required by law.
Limits Deductible Premium
………………………………………………………………………………………………………………………………………………………..
Liability To Others $2,091
Bodily Injury Liability $50,000 each person/$100,000 each accident
Property Damage Liability $25,000 each accident
………………………………………………………………………………………………………………………………………………………..
Uninsured Motorist $25,000 each person/$50,000 each accident
………………………………………………………………………………………………………………………………………………………..
134
Total general policy coverage premium $2,225

Outline of vehicle coverages

All limits listed below are subject to all terms, conditions, exclusions and applicable reductions described in the policy.

2010 CADILLAC CTS 4 DOOR SEDAN

VIN: 1G6DE5EG0A0138664
Garaging ZIP Code: 64055
Primary use of the vehicle: Commute
Annual miles: 10,000 - 11,999
Length of vehicle ownership when policy started or vehicle added: At least 1 year but less than 3 years
Limits Deductible Premium
………………………………………………………………………………………………………………………………………………………..
Comprehensive Actual Cash Value
………………………………………………………………………………………………………………………………………………………..
$500 $147
Collision Actual Cash Value $500 376
………………………………………………………………………………………………………………………………………………………..
Rental Reimbursement up to $50 each day/maximum 30 days 66
………………………………………………………………………………………………………………………………………………………..
Loan/Lease Payoff 25% Of The Actual Cash Value 36
………………………………………………………………………………………………………………………………………………………..
Total vehicle coverage premium for 2010 CADILLAC Commute $625

2019 CHEVROLET EQUINOX 4 DOOR WAGON

VIN: 2GNAXKEV4K6283861
Garaging ZIP Code: 64055
Primary use of the vehicle: Commute
Annual miles: 14,000 - 15,999
Length of vehicle ownership when policy started or vehicle added: At least 1 year but less than 3 years
Limits Deductible Premium
………………………………………………………………………………………………………………………………………………………..
Comprehensive Actual Cash Value
………………………………………………………………………………………………………………………………………………………..
$500 $144
Collision Actual Cash
………………………………………………………………………………………………………………………………………………………..
Value $500 565
Rental Reimbursement up to $50 each day/maximum 30 days
………………………………………………………………………………………………………………………………………………………..
86
Total vehicle coverage premium for 2019 CHEVROLET Commute $795

Form 6489 MO (03/23)

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976729598 E IC94586 INS DECPAGE E POLWHITEFONT BU7EXRNJBICJUZCXNK4Y4O6Y4E0002 RPUID TRACWHITEFONT BDF_AA

Policy Number: 976729598

Cheryl Asher
Donald M Hay
Page 3 of 3

2014 HYUNDAI ELANTRA 4 DOOR SEDAN

VIN: KMHDH4AE0EU134465
Garaging ZIP Code: 64055
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
Information regarding your vehicle history (prior damage, theft or title issues) has impacted how we determine your premium.
Limits Deductible Premium
………………………………………………………………………………………………………………………………………………………..
Comprehensive Actual Cash Value
………………………………………………………………………………………………………………………………………………………..
$500 $485
Collision Actual Cash Value $500 410
………………………………………………………………………………………………………………………………………………………..
Rental Reimbursement up to $50 each day/maximum 30 days 75
………………………………………………………………………………………………………………………………………………………..
Total vehicle coverage premium for 2014 HYUNDAI Commute $970

2019 NISSAN MURANO 4 DOOR WAGON

VIN: 5N1AZ2MS0KN146515
Garaging ZIP Code: 64055
Primary use of the vehicle: Commute
Annual miles: 8,000 - 9,999
Length of vehicle ownership when policy started or vehicle added: Less than 1 month
Limits Deductible Premium
………………………………………………………………………………………………………………………………………………………..
Comprehensive Actual Cash Value
………………………………………………………………………………………………………………………………………………………..
$500 $170
Collision Actual Cash
………………………………………………………………………………………………………………………………………………………..
Value $500 611
Rental Reimbursement up to $50 each day/maximum 30 days
………………………………………………………………………………………………………………………………………………………..
88
Loan/Lease Payoff 25% Of The
………………………………………………………………………………………………………………………………………………………..
Actual Cash Value 33
Total vehicle coverage premium for 2019 NISSAN Commute $902
………………………………………………………………………………………………………………………………………………………..
Total 6 month policy premium $5,517.00

Premium discounts
Policy
………………………………………………………………………………………………………………………………………………………..
976729598 Electronic Funds Transfer (EFT), Mobile Home Owner, Multi-Car, Continuous
Insurance: Silver and Paperless

Lienholder information
Vehicle Lienholder
………………………………………………………………………………………………………………………………………………………..
2010 CADILLAC CTS WESTLAKE FIN SVCS
1G6DE5EG0A0138664 LOS ANGELES, CA 90010

………………………………………………………………………………………………………………………………………………………..
2019 CHEVROLET EQUINOX CHRYSLER CAPITAL
2GNAXKEV4K6283861 CARMEL, IN 46082

………………………………………………………………………………………………………………………………………………………..
2014 HYUNDAI ELANTRA WESTLAKE FIN SVCS
KMHDH4AE0EU134465 LOS ANGELES, CA 90010

………………………………………………………………………………………………………………………………………………………..
2019 NISSAN MURANO SANTANDER CONS USA
5N1AZ2MS0KN146515 CARMEL, IN 46082

A11Y LEH End Locator

Form 6489 MO (03/23)