PROGRESSIVE

P.O. BOX 31260

TAMPA, FL 33631

Policy Number: 75947571

Underwritten by:
United Financial Casualty Company
ANDREI ROMANENKO October 10, 2015
MAKSIM HANCHARUK
Policy Period: Nov 12, 2015 - May 12, 2016
1109E KEPPLER CT
SAN FRANCISCO, CA 94130 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

For customer service and claims service,
Coverage Summary 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 November 12, 2015 at 12:01 a.m. This policy expires on May 12, 2016 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. The policy contract is form 9611D CA (10/14). The
contract is modified by form Z080 CA (11/05).

Underwriting Company
United Financial Casualty Company

Drivers and household residents Years Licensed Years Experienced Marital Status
………………………………………………………………………………………………………………………………………………………..
Andrei Romanenko 12 19 Single
Additional Information: Named insured
………………………………………………………………………………………………………………………………………………………..
Maksim Hancharuk 15 15 Married
Additional Information: Named insured
………………………………………………………………………………………………………………………………………………………..
Victoria Hancharyk 00 00 Married
Additional Information: excluded driver
………………………………………………………………………………………………………………………………………………………..
Viktoriya Plesha 08 08 Single

Important information regarding excluded drivers

This policy provides no coverage for any claim arising from an accident or loss involving a motorized vehicle being
operated by any person shown as an excluded driver on this Auto insurance coverage summary (declarations page).

Form 6489 CA (12/06)

4
Continued
 Policy Number: 75947571
Andrei Romanenko
Maksim Hancharuk
Page 2 of 3

Outline of coverage
2011 BMW 335D 4 DOOR SEDAN
VIN: WBAPN7C52BA949219 Garaging zip code: 94130 Annual miles: 6000 Vehicle use: Pleasure
Limits Deductible Premium
………………………………………………………………………………………………………………………………………………………..
Liability To Others $276
Bodily Injury Liability $50,000 each person/$100,000 each accident
Property Damage Liability $50,000 each accident
………………………………………………………………………………………………………………………………………………………..
Uninsured/Underinsured Motorist $50,000 each person/$100,000 each accident 16
………………………………………………………………………………………………………………………………………………………..
Comprehensive Actual
………………………………………………………………………………………………………………………………………………………..
Cash Value $1,000 50
Collision Actual Cash Value $2,500 219
………………………………………………………………………………………………………………………………………………………..
Uninsured Motorist Collision Deductible Waiver $2,500
………………………………………………………………………………………………………………………………………………………..
waived 4
Total premium for 2011 BMW $565
2008 HONDA CIVIC LX 2 DOOR COUPE
VIN: 2HGFG12608H508149 Garaging zip code: 94130 Annual miles: 6000 Vehicle use: Pleasure
Limits Deductible Premium
………………………………………………………………………………………………………………………………………………………..
Liability To Others $155
Bodily Injury Liability $50,000 each person/$100,000 each accident
Property Damage Liability $50,000 each accident
………………………………………………………………………………………………………………………………………………………..
Uninsured/Underinsured Motorist $50,000 each person/$100,000 each accident
………………………………………………………………………………………………………………………………………………………..
15
Total premium for 2008 HONDA $170
………………………………………………………………………………………………………………………………………………………..
Subtotal policy premium $735.00
………………………………………………………………………………………………………………………………………………………..
Anti-Fraud fee 1.76
………………………………………………………………………………………………………………………………………………………..
Total 6 month policy premium $736.76
Payment schedule
Oct 12, 2015 .......................$106.88 Feb 12, 2016..........................$127.50
Nov 12, 2015 ......................$129.29 Mar 12, 2016 .........................$127.50
Dec 12, 2015.......................$127.50 Apr 12, 2016 ..........................$127.47
Jan 12, 2016 .......................$127.50
An installment fee of $5.00 has been included in each payment. You may avoid paying installment fees by paying your
premium of $737 in full by November 12, 2015. You may reduce the amount you pay in installment fees by paying your
premium in larger amounts and fewer installments. Please call 1-800-776-4737 for details. The following additional fees
may apply:
Late payment fee $5.00
Cancel fee $50.00
Fee for returned checks or refused payments $20.00

Premium discounts
Policy
………………………………………………………………………………………………………………………………………………………..
75947571 Multi-Car
Driver
………………………………………………………………………………………………………………………………………………………..
Andrei Romanenko Good Driver
Maksim Hancharuk Good Driver
Viktoriya Plesha Good Driver

Form 6489 CA (12/06)

4
Continued
 Policy Number: 75947571
Andrei Romanenko
Maksim Hancharuk
Page 3 of 3

Lienholder information
We send certain notices such as coverage summaries and cancellation notices to the following:
Vehicle Lienholder
………………………………………………………………………………………………………………………………………………………..
2011 BMW 335D Pentagon Fcu
WBAPN7C52BA949219 Omaha, NE 68124

Your Right to Advance Notice of Renewal

California law requires insurers to provide either an offer to renew at least 20 days before policy expiration or a written
notice of nonrenewal at least 30 days before expiration. If we fail to give this offer or notice in the specified timeframes
listed above, the existing policy with no changes in its terms and conditions, will remain in effect for 30 days from the date
that either the offer to renew or the notice of nonrenewal is mailed to you. However, your policy shall terminate on the
effective date of any other replacement or succeeding automobile insurance policy with respect to any automobile
designated in both policies, even if you do not receive a timely offer to renew or notice of nonrenewal.

Company officers

President Secretary

Form 6489 CA (12/06)