PERSONAL AUTO DECLARATION
Underwritten by: Progressive Insurance Company
3800 HORIZON HILL BLVD STE 105 POLICY NUMBER Policy Period
SAN ANTONIO, TX 78229 From To
Inquire or pay your bill online using www.progressive.com
601 3201589 11 08/15/2025 later of 23:59 p.m. or time 11/14/2025 23:55 p.m
. application is executed
Named Insured: *Unless cancelled sooner for valid reasons.
CRISTIAN VALLE 0506457
1601 E DEBBIE LANE APT 1319 Agency Progressive
3800 HORIZON HILL BLVD STE 105
MANSFIELD, TX 76063
SAN ANTONIO, TX 78229
POLICY PREMIUM TOTAL
(includes $15.00 for Policy Fee
Transaction Description
POLICY DECLARATION
Drivers on Policy Rated Birth SR22 Mar Sex
CRISTIAN VALLE Rated 08/23/1999 No S M
ROSAURA D QUINTERO GONZALEZ Rated 06/03/1997 No S F
Forms and Endorsements
40217 (01/12) 40357 (08/13) 40710 (09/16) CO-PCE-01 (07/17)
Vehicle 1 Lienholder PREMIUM
Year / Make / Model: 2015 HYUNDAI SONATA 4D Vehicle Use: Pleasure
Vehicle Identification#: 5NPE24AF3FH026839
Discounts: EFT, Go Paperless
Garaging Location: Same
Loss Payee: N/A
Additional Interest: N/A
Mandatory Per Person Per Accident Deductible Premium
Coverage Limit Limit
BODILY INJURY FULL COVERAGE Y 45,000$ 90,000$
PROPERTY DAMAGE FULL COVERAGE Y 500$
27,500$
MEDICAL PAYMENTS Y
UNINSURED/UNDERINSURED MOTORIST BODILY Y
INJURY
45,000$ 90,000$
COMPREHENSIVE Y
500$
AUTOMOBILE THEFT PREVENTION AUTHORITY Y 27,500$
APVDEC (04/14) Issued Date: 02/13/2025 INSURED Authorized Signature
Page 1 of 5
Underwritten by: Progressive Insurance Company
Vehicle History Report Notice
Dear Progressive Insurance Company Customer,
W e have collected a vehicle history report in connection with your insurance transaction with us from the following vendor:
AutoCheck®
W e have used this information to assist in the rating of your insurance policy.
Vehicle Question Report Answer
2015 HYUNDAI SONATA 4D Length of Ownership < 3 months
Vehicle Lease History Never been leased
Original Vehicle Owner No
Prior Damage History No
Severe Damage Reported as Insurance Loss - V
You may request a copy and/or dispute information found on the vehicle history report by calling the vendor listed above.
For more information regarding our use of these reports. AC-VHR-001 (03/13)
Underwritten by: Progressive Insurance Company
Go Paperless Customer Summary
Please complete the following steps:
1. Open the authentication e-mail sent to you by Progressive Auto and click on the authentication link.
2. Log in and register on www.Progressive.com using your policy number - 601 3201589 11.
3. Click and accept the Terms and Conditions for Go Paperless.
E-mail address: JUMAPALU@GMAIL.COM
Please ensure that your e-mail account has sufficient space for new e-mails and that your e-mail server and
spam-blocking software do not block our e-mails.
If you do not authenticate, you will receive paper documents and the Paper Documents fee will apply.
If you have additional questions, please review the Go Paperless Frequency Asked Questions (FAQ) document
which can be found by logging into your account at www.Progressive.com.
With Go Paperless, you can:
• Access any of your policy documents 24/7 at www.Progressive.com
• Print your insurance ID cards when you need them.
• Save electronic copies of your policy documents to your computer.
GP-001 (03/13
Keep these cards handy--in your glove compartment or wallet. And contact us anytime you have a question or need to report a claim.
If you have a claim, we'll get you back on the road as soon as possible. And while you'll always have a choice where to repair your
vehicle, when you use a shop in our preapproved network, we'll guarantee your repair for as long as you own or lease your vehicle.
Thank you for choosing Progressive.
________________________________________
_
CRISTIAN VALLE INSURANCE IDENTIFICATION CARD -TEXAS
Policy Number: 601 3201589 11 NAIC Number: 35882
Effective Date: 08/15/2025 Expiration Date: 11/14/2025
Insurer: Progressive 3800 HORIZON HILL BLVD STE 105
SAN ANTONIO, TX 78229
Named Insured(s):
CRISTIAN VALLE
1601 E DEBBIE LANE APT 1319
MANSFIELD, TX 76063
Additional Driver(s):
ROSAURA D QUINTERO GONZALEZ
Year Make Model VIN
Form A022 (10/20)
2015 HYUNDAI SONATA 5NPE24AF3FH026839
IF YOU'RE IN AN ACCIDENT
1. Remain at the scene. Don't admit fault.
2. Find a safe location, call the police, and exchange driver information.
3. Call Progressive right away.
TO REPORT A CLAIM
go to claims.progressive.com.
Manage your policy anytime
with just a few clicks at
agent.progressive.com
KEEP THIS CARD IN YOUR VEHICLE WHILE IN OPERATION.
Progressive Casualty Insurance Company, Progressive Holdings, Inc., Progressive Insurance
Company, Progressive Insurance Services of California, Inc., Progressive Insurance Services, Inc. of
Florida, Progressive Preferred Insurance Company, BWIS of Nevada, Inc.; Coast National Holding
Company, Coast National Insurance Company; Foremost County Mutual Insurance Company,
Foremost Insurance Company Grand Rapids, Michigan, Foremost Lloyds of Texas, Foremost Property
and Casualty Insurance Company, Foremost Signature Insurance Company, and Security National
Insurance Company (Progressive Specialty Insurance Company in TX).
The above is a list of the affiliates on whose behalf this privacy notice is being provided. It is not a
comprehensive list of all affiliates of the companies comprising the Farmers Insurance Group of
Companies.
*For more background information on Farmers Financial Solutions, LLC (“FFS”) or its registered
representatives/Agents, visit FINRA’s BrokerCheck at www.finrabrokercheck.com or call the
BrokerCheck toll free hotline at You may obtain information about the Securities Investor Protection
Program (SIPC) including the SIPC brochure by contacting SIPC at or via the internet at www.sipc.org.
FFS is registered with the US Securities and Exchange Commission and the Municipal Securities
Rulemaking Board (MSRB). The MSRB website is accessible at www.msrb.org and includes an
Investor Brochure that describes the protections that may be provided by the MSRB and how to file a
complaint with the appropriate regulatory authority.
-------------------------------------------&------------------------------------Cut here---------------------------------------&----------------------------------------
Please do not share consumer report information about me with your affiliates except
as otherwise permitted by law.
Policy Number: 601 3201589 11.
Insured:
CRISTIAN VALLE
1601 E DEBBIE LANE APT 1319
MANSFIELD, TX 76063
PRVN99 (01/20) Page 5 of 5
Underwritten by:
Progressive Insurance Company
Transaction Confirmation
Policyholder Copy
Named Insured: CRISTIAN VALLE
Policy Number: 601 3201589 11
Producer: 0506457
Transaction: New Business
Transaction Date: 08/15/2025
Transaction Time: 23:59 PM EST
Effective Date: 11/14/2025
Effective Time: 23:59 PM EST
Amount Received: 133.78$
Payment Type: Checking/Savings
PRODUCER NOTE: Do not accept check or cash from the Policyholder. The down payment shown above will be swept from the
policyholder’s checking/savings account.
Cut Here
Underwritten by:
Progressive Insurance Company
Transaction Confirmation
Producer Copy
Named Insured: CRISTIAN VALLE
Policy Number: 601 3201589 11
Producer: 0506457
Transaction: New Business
Transaction Date: 08/15/2025
Transaction Time: 23:59 PM EST
Effective Date: 11/14/2025
Effective Time: 23:59 PM EST
Amount Received: 133.78$
Payment Type: Checking/Savings
PRODUCER NOTE: Do not accept check or cash from the Policyholder. The down payment shown above will be swept from the
policyholder’s checking/savings accoun
