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PURCHASE
AUTO INSURANCE
TERMS & COVERAGE
PERSONAL INFORMATION
VEHICLE INFORMATION
TOWED UNITS
INSURANCE SUMMARY
Renew your Auto Policy
Promotional / agent’s code:
(if available)
NOTE:
If you are an agent and want to make your purchase by P.O.,
please go to the Agents section located at the main menu.
P
lan
Plan A
:
Annual / Limited Territory
Plan B:
Annual / Full Territory
Plan C:
Daily / Full Territory
Plan E:
6 Months / Full Territory
*LIMITED TERRITORY:
BAJA CALIFORNIA NORTE, BAJA CALIFORNIA SUR, SONORA, SINALOA, CHIHUAHUA, DURANGO, COAHUILA, NUEVO LEON, TAMAULIPAS.
V
ehicle Type
Auto
/ SUV / Pick Up / Cargo & Passengers Van /
Light Truck up to 2.5 ton of capacity
RV / Motorhomes
Motorcycle
C
overage
Basic Coverage
:
Yes
No
Collision
:
Yes
No
Total Theft
:
Yes
No
Towed Units:
Yes
No
Drivers under 21:
Yes
No
V.I.P. Endorsement
:
Yes
No
Included Liability:
$30,000
$40,000
$50,000
$60,000
$70,000
$80,000
$90,000
$100,000
$150,000
$200,000
$250,000
$300,000
Medical Expenses:
$4,000-$20,000
$5,000-$25,000
$6,000-$30,000
Legal Expenses:
Included
Roadside Assistance:
Included
Tour Aid
:
Yes
No
SafeMed Insured Sum
:
$0.00
V
ehicle Description and Values
Car/Truck/Auto
*
Special Equipment
Towed Vehicle
Boat/Watercraft Motor
Boat/Watercraft Trailer
Travel Trailer
Utility Trailer
Total Insured Sum
T
erm of Insurance
hour
min
month
day
year
From:
15
16
17
18
19
20
21
22
23
:15
:30
:45
02
03
04
05
06
07
08
09
10
11
12
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
2012
2013
To:
02
06
2013
Term:
Days
*
C
osts
Net Premium:
Policy Fee:
Total Premium:
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