Form_SCTNID_CTGRY.
IL05216489_DECPAGE
949590364 R TF58795 INS DECPAGE E POLWHITEFONT KPIJWY5YHPWWE4S6XYLDHLPOFG0001 RPUID TRACWHITEFONT
PROGRESSIVE
P.O. BOX 31260
TAMPA, FL 33631
Policy Number: 949590364
Underwritten by:
Progressive Universal Insurance Co
June 9, 2022
SOFIANE BELMAHDI
Policy Period: Jun 9, 2022 - Dec 9, 2022
916 SUNSET RD
WHEATON, IL 60189 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.
P.O. Box 31260
This is your revised Renewal Tampa, FL 33631
Declarations Page
Your policy period has changed
Your coverage began on June 9, 2022 at 12:01 a.m. This policy expires on December 9, 2022 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. The
policy contract is form 9611D IL (05/15) . The contract is modified by forms 4884 (10/08), 6255 (07/11), A229 IL (06/17), A264 (10/18)
and A331 (11/21).
A Paid In Full Discount is included in your renewal policy premium.
Progressive Universal Insurance Co is a stock company (NYSE: PGR).
PO Box 6949 Cleveland, OH 44101
Drivers and household residents
Sofiane Belmahdi
Additional information: Named insured
Safia Rezgane
Outline of general policy coverages Limits Deductible Premium
………………………………………………………………………………………………………………………………………………………..
Liability To Others $425
Bodily Injury Liability $25,000 each person/$50,000 each accident
Property Damage Liability $20,000 each accident
………………………………………………………………………………………………………………………………………………………..
Uninsured/Underinsured Motorist Bodily Injury $25,000 each person/$50,000 each accident 23
………………………………………………………………………………………………………………………………………………………..
Total premium for general policy coverage $448.00
When selected at state minimum limits, Uninsured/Underinsured Motorist Bodily Injury coverage provides a benefit only when the
legally liable owner or operator does not have insurance, has insurance in an amount less than the minimum amounts required by the
financial responsibility laws of the state, or is a hit-and-run motorist (an uninsured motorist).
Form 6489 IL (05/21)
4
Continued
949590364 R TF58795 INS DECPAGE E POLWHITEFONT KPIJWY5YHPWWE4S6XYLDHLPOFG0001 RPUID TRACWHITEFONT
Policy Number: 949590364
Sofiane Belmahdi
Page 2 of 2
Outline of vehicle coverage
General policy coverages apply to all listed vehicles unless indicated otherwise.
2012 HONDA CIVIC 4 DOOR SEDAN
VIN: 19XFB2F56CE087885
Garaging ZIP Code: 60189
Primary use of the vehicle: Commute
Length of vehicle ownership when policy started or vehicle added: 5 years or more
Information regarding your vehicle history (prior damage, theft or title issues) has impacted how we determine your premium.
Limits Deductible Premium
………………………………………………………………………………………………………………………………………………………..
Total vehicle coverage premium for 2012 HONDA Commute $0
2012 MERCEDES-BENZ GL450 4 DOOR WAGON
VIN: 4JGBF7BE4CA783827
Garaging ZIP Code: 60189
Primary use of the vehicle: Commute
Length of vehicle ownership when policy started or vehicle added: Less than 1 month
Limits Deductible Premium
………………………………………………………………………………………………………………………………………………………..
Comprehensive Actual Cash Value
………………………………………………………………………………………………………………………………………………………..
$500 $64
Collision Actual Cash Value $500 195
………………………………………………………………………………………………………………………………………………………..
Total vehicle coverage premium for 2012 MERCEDES-BENZ Commute $259
………………………………………………………………………………………………………………………………………………………..
Total 6 month policy premium $707.00
Premium discounts
Policy
………………………………………………………………………………………………………………………………………………………..
949590364 Paid in Full, Home Owner, Online Quote, Multi-Car, Continuous Insurance:
Platinum and Paperless
Vehicle
………………………………………………………………………………………………………………………………………………………..
2012 MERCEDES-BENZ Anti-theft Device and Smart Technology Discount
GL450
Smart Technology Discount ℠ is a service mark of Progressive Casualty Ins. Co.
Lienholder information
Vehicle Lienholder
………………………………………………………………………………………………………………………………………………………..
2012 MERCEDES-BENZ GL450 FIFTH THIRD BANK
4JGBF7BE4CA783827 SOLON, OH 44139
Form 6489 IL (05/21)
