Form_SCTNID_CTGRY.

XX0306QTCOVLTR_COVERLTR

656534251 Q NO42191 INS COVERLTR E POLWHITEFONT QEAVMVVEYFFPUESOFJ6E4FO6LA0001 RPUID TRACWHITEFONT

S&S INSURANCE AGENCY

749 MAIN ST STE 401
RIVERDALE , GA 30274

Policy Number: 65653425-1

Silver Membership
Underwritten by:
Progressive Mountain Insurance Co
PHOENICIA MINOR
4782 WHITE OAK PATH September 29, 2010
STONE MOUNTAIN , GA 30088 Policy Period: Oct 24, 2010 - Apr 24, 2011

1-770-997-7999
S&S INSURANCE AGENCY
Contact your agent for personalized service.

Revised renewal bill and policy documents are enclosed

This information was revised on September 29, 2010
Your current policy will expire on October 24, 2010 at 12:01 a.m. Renew your policy today.
a Pay the unpaid amount on your current policy in the amount of $194.64, due immediately.
a Review the enclosed policy documents.
a Select your payment option.
a Pay the amount shown in the "Pay now" column by October 24, 2010 to renew your policy.
If you only pay the minimum amount due to renew your policy, that payment amount will be credited toward the balance
due on your current policy.
Your total 6 month policy premium is $1,227.00.

Your three payment options Pay now Installments Payment discount savings Your total cost
………………………………………………………………………………………………………………………………………………………..
Pay in full now for maximum savings $1,112.00 -- $115.00 $1,112.00
………………………………………………………………………………………………………………………………………………………..
Sign up for Electronic Funds Transfer (EFT), an $209.54 5 installments of $184.09 $107.00 $1,129.99
automatic payment withdrawal. Enrollment required.
See enrollment information on reverse side.
………………………………………………………………………………………………………………………………………………………..
Make installment payments $209.54 5 installments of $209.50 -- $1,257.00

Convenient ways to pay: online at progressiveagent.com , call 1-800-876-5581 , by mail or with your
agent .

Please see reverse side for additional information and ways to avoid or reduce paying installment fees.
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Payment Coupon
……………………………………………………………………………………………………………
Policy Number: 65653425-1
Policyholder:
Pay unpaid amount on current policy due immediately
……………………………………………………………………………………………………………
$194.64 PHOENICIA MINOR
After paying the above, pay an amount below to renew your policy To avoid a lapse in coverage, your
……………………………………………………………………………………………………………
Make a paid in full payment of $1,112.00 payment must be received or postmarked by
……………………………………………………………………………………………………………
the due date.
Or "Pay now" amount of $209.54
…………………………………………………………………………………………………………… If you pay by check , please allow 5 to 7
Due date for renewal payment October 24, 2010 days for your payment to reach us. Write your
policy number on the check and make it
*303485428283* payable to Progressive Mountain Insurance Co .
PROGRESSIVE
PO BOX 105428
ATLANTA GA 30348-5428 Do not write below this section of coupon.
NO-42191
S52003754993058S

525765653425 10244 0040418 0142664 5200375 4993058 001010241006

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If your current policy cancels because you do not pay the required premium by the due date, this offer to renew is
withdrawn.

Renewal payment schedule

To receive a paid in full discount of $115.00 and avoid installment fees, pay $1,112.00 by October 24, 2010.

Due date EFT withdrawal Installments

Oct 24, 2010 $209.54 $209.54

Nov 24, 2010 $184.09 $209.50
Dec 24, 2010 $184.09 $209.50
Jan 24, 2011 $184.09 $209.50
Feb 24, 2011 $184.09 $209.50
Mar 24, 2011 $184.09 $209.46

EFT withdrawals include a $1.00 installment fee and installment payments include a $5.00 installment fee. You may
reduce the amount you pay in installment fees by paying your premium in larger amounts and fewer installments.
If your policy payment due date is not convenient, please call us at 1-800-876-5581 to review different due date options.
If your current policy cancels because you do not pay the required premium by the due date, this offer to renew is
withdrawn.

How to enroll for EFT and earn a discount

Earn a discount and make budgeting easy by signing up for EFT. With this automatic payment withdrawal option,
payments will be made directly from your checking account. No more checks and stamps. Get started:
Step 1: Make your October 24, 2010 renewal payment at progressiveagent.com, by phone at 1-800-876-5581 , by
mail or with your agent.
Step 2: Complete the EFT authorization form included in this packet and fax it to 1-800-229-1590 or return it with
your payment in the envelope provided. This gives us authorization to have future payments withdrawn
directly from your checking account.
After your EFT authorization form is processed, we will send you a final EFT payment schedule.
To earn the full discount savings of $107.00 , we must receive the EFT authorization form by
October 24, 2010 .

Pay online
For secure, 24/7 access to your policy, log in to progressiveagent.com and visit our easy-to-use online service site. You
can use it to make payments, print temporary ID cards, update your policy and more. Your password is intentionally
masked below for your security. If you have forgotten your password, click "User ID and password help."
User ID: PHOENICIA1985
Password: (PASSWORD IS MASKED FOR YOUR SECURITY)
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Information about your policy

Check the premium discounts section on the enclosed Auto Insurance Coverage Summary (Declarations Page) for the
discounts on your policy.