Form_SCTNID_CTGRY.
FL12236489_DECPAGE
980083803 Q IC10332 INS DECPAGE E POLWHITEFONT LSJXJXOFW37YEMKO2ZFVV7AIKD0002 RPUID TRACWHITEFONT BDF_AA
PROGRESSIVE
P.O. BOX 31260
TAMPA, FL 33631
Policy Number: 980083803
Underwritten by:
Progressive Select Insurance Co
March 28, 2025
MARK WILSON
Policy Period: May 1, 2025 - Nov 1, 2025
4219 RIDGE ROAD
LAKELAND, FL 33811 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
Coverage Summary
For customer service and claims service,
24 hours a day, 7 days a week.
This is your Renewal
Declarations Page
The coverages, limits and policy period shown apply only if you pay for this policy to renew.
Your coverage begins on May 1, 2025 at 12:01 a.m. This policy expires on November 1, 2025 at 12:01 a.m.
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 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
Mark Wilson
Additional information: Named insured
Ingrid G Wilson
Megan A Wilson
Outline of coverage
2009 NISSAN ALTIMA 4 DOOR SEDAN
VIN: 1N4AL21E99N448275
Garaging ZIP Code: 33811
Primary use of the vehicle: Commute
Annual miles: 8,000 - 9,999
Length of vehicle ownership when policy started or vehicle added: 5 years or more
Limits Deductible Premium
………………………………………………………………………………………………………………………………………………………..
Liability To Others
Bodily Injury Liability $10,000 each person/$20,000 each accident $92
Property Damage Liability $10,000 each accident 119
………………………………………………………………………………………………………………………………………………………..
Personal Injury Protection $10,000 $1,000/person 78
Deductible applies to You and Dependent Relatives
………………………………………………………………………………………………………………………………………………………..
Uninsured Motorist Rejected --
………………………………………………………………………………………………………………………………………………………..
Medical Payments $1,000 each person 8
………………………………………………………………………………………………………………………………………………………..
Comprehensive Actual Cash Value $500 20
………………………………………………………………………………………………………………………………………………………..
Collision Actual Cash Value $500 65
………………………………………………………………………………………………………………………………………………………..
Total premium for 2009 NISSAN $382
Form 6489 FL (12/23)
4
Continued
980083803 Q IC10332 INS DECPAGE E POLWHITEFONT LSJXJXOFW37YEMKO2ZFVV7AIKD0002 RPUID TRACWHITEFONT BDF_AA
Policy Number: 980083803
Mark Wilson
Page 2 of 3
2009 NISSAN SENTRA 4 DOOR SEDAN
VIN: 3N1AB61E29L685598
Garaging ZIP Code: 33811
Primary use of the vehicle: Commute
Annual miles: 8,000 - 9,999
Length of vehicle ownership when policy started or vehicle added: 5 years or more
Limits Deductible Premium
………………………………………………………………………………………………………………………………………………………..
Liability To Others
Bodily Injury Liability $10,000 each person/$20,000 each accident $92
Property Damage Liability $10,000
………………………………………………………………………………………………………………………………………………………..
each accident 127
Personal Injury Protection $10,000 $1,000/person 76
Deductible applies to You and Dependent Relatives
………………………………………………………………………………………………………………………………………………………..
Uninsured Motorist Rejected --
………………………………………………………………………………………………………………………………………………………..
Medical Payments $1,000 each person 8
………………………………………………………………………………………………………………………………………………………..
Comprehensive Actual Cash Value $500 18
………………………………………………………………………………………………………………………………………………………..
Collision Actual Cash Value $500 58
………………………………………………………………………………………………………………………………………………………..
Total premium for 2009 NISSAN $379
2010 MAZDA CX-7 4 DOOR WAGON
VIN: JM3ER2W59A0337219
Garaging ZIP Code: 33811
Primary use of the vehicle: Pleasure/Personal
Annual miles: 8,000 - 9,999
Length of vehicle ownership when policy started or vehicle added: 5 years or more
Limits Deductible Premium
………………………………………………………………………………………………………………………………………………………..
Liability To Others
Bodily Injury Liability $10,000 each person/$20,000 each accident $73
Property Damage Liability $10,000 each accident 117
………………………………………………………………………………………………………………………………………………………..
Personal Injury Protection $10,000 $1,000/person 51
Deductible applies to You and Dependent Relatives
………………………………………………………………………………………………………………………………………………………..
Uninsured Motorist Rejected --
………………………………………………………………………………………………………………………………………………………..
Medical Payments $1,000 each person 5
………………………………………………………………………………………………………………………………………………………..
Comprehensive Actual Cash Value $500 19
………………………………………………………………………………………………………………………………………………………..
Collision Actual Cash Value $500 47
………………………………………………………………………………………………………………………………………………………..
Total premium for 2010 MAZDA $312
………………………………………………………………………………………………………………………………………………………..
Total 6 month policy premium $1,073.00
………………………………………………………………………………………………………………………………………………………..
Discount if paid in full -205.00
………………………………………………………………………………………………………………………………………………………..
Total 6 month policy premium if paid in full $868.00
Premium discounts
Policy
………………………………………………………………………………………………………………………………………………………..
980083803 Five-Year Accident Free, Home Owner, Online Quote, Multi-Car, Continuous
Insurance: Diamond, Paperless and Three-Year Safe Driving
Vehicle
………………………………………………………………………………………………………………………………………………………..
2009 NISSAN Anti-Lock Brakes, Driver and Passenger-side Airbag and Passive Anti-theft
ALTIMA Device
2009 NISSAN Anti-Lock Brakes, Driver and Passenger-side Airbag and Passive Anti-theft
SENTRA Device
2010 MAZDA Anti-Lock Brakes, Driver and Passenger-side Airbag and Passive Anti-theft
CX-7 Device
Form 6489 FL (12/23)
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980083803 Q IC10332 INS DECPAGE E POLWHITEFONT LSJXJXOFW37YEMKO2ZFVV7AIKD0002 RPUID TRACWHITEFONT BDF_AA
Policy Number: 980083803
Mark Wilson
Page 3 of 3
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)
