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Personal Auto Policy Change
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Personal Insurance

• Personal Auto
• Homeowners
• Renters
• Condominium Owners
• Personal Items
• Boats
• Umbrella
• Motorcycles
• Motorhomes
• Mobile Homes
• Dwelling Fire
• Watercraft
• Gap Insurance
• Flood
• Antique Cars

Business/Commercial Insurance

• Commercial Auto
• Workers Compensation
• Commercial Liability
• Commercial Property
• Contractors
• Manufacturers
• Retail
• Wholesale
• Professional Liability
• Restaurants
• Garage & Repair
• Hotel/Motel
• Inland Marine
• Bonds
• Business Owners Policy
• Commercial Umbrella
• Commercial Trucks
• Dump Trucks
• Long Haul Trucks
• Errors and Omissions
• Group Insurance

Personal Auto Insurance Policy Change

Boston Auto Insurance is important for every driver to have. If you DO NOT have Auto Insurance and are looking for Coverage Rates please visit Auto Insurance Quote. Let Lymneos Insurance help you find the best coverage for your specific needs. Call today 617-327-3870!

Personal Information

First Name*
Last Name*
Address*
City*		State*	Zip*
Phone*		Fax
Email*	you@email.com
Best Contact Method	Email Phone
Best Time to Call	We can only contact you Mon-Fri 9-5pm

 

Policy Information

Company Name*
Policy Number*
Expiration Date*	00-00-00
Effective Date of Change*	00-00-00

 

Driver(s)

	Name on License	Date of Birth	License Number	State	Driver Training
1.					Yes No	Add Remove
2.					Yes No	Add Remove
3.					Yes No	Add Remove

 

Coverages

Part 3 - Bodily Injury By Uninsured Motorist	20/40 20/50 25/50 25/60 30/60 30/70 35/80 50/50 50/100 100/100 100/150 100/200 100/300 100/500 200/200 200/300 200/400 200/500 250/500 300/300 300/500 100/300 500/500 500/1000
Part 4 - Property Damage	50,000 100,000 150,000 200,000 250,000 300,000 400,000 500,000
Part 5 - Optional Bodily Injury	No Coverage 20/40 20/50 25/50 25/60 30/60 30/70 35/80 50/50 50/100 100/100 100/150 100/200 100/300 100/500 200/200 200/300 200/400 200/500 250/500 300/300 300/500 100/300 500/500 500/1000
Part 6 - Medical Payments	No Coverage 5,000 10,000 15,000 20,000 25,000 50,000 100,000
Part 7 - Collision Deductible	No Coverage 300 500 1,000 2,000
Part 8 - Limited Collision	No Coverage 300 500 1,000 2,000
Part 9 - Comprehensive Deductible	No Coverage 300 500 1,000 2,000
Part 10 - Substitute Transportation	No Coverage 15/day to 450 max 30/day to 900 max 45/day to 1,350 max 100/day to 3,000 max
Part 11 - Towing & Labor	No Coverage 50/incident 100/incident
Part 12 - Bodily Injury By Underinsured Motorist	No Coverage 20/40 20/50 25/50 25/60 30/60 30/70 35/80 50/50 50/100 100/100 100/150 100/200 100/300 100/500 200/200 200/300 200/400 200/500 250/500 300/300 300/500 100/300 500/500 500/1000
If your assets are above the maximum limit of $250,000, you need a Personal Umbrella policy. A Personal Umbrella policy will cover your auto(s) and your home premises. An additional $1 million to $10 million + limits of liability are available with a Personal Umbrella policy. Premiums start at $100 annually per $1 million of coverage.

 

Change Information

Remove Secured Lender/Lienholder
Principal Place of Garaging
Change Mailing Address to	Address, City, State Zip
Change Home Phone Number to	000-000-0000
Change Cell Phone Number to	000-000-0000

 

Interested in Other Types of Insurance?

Boats		Antique Cars		Motorcycles		Watercraft
Mobile Homes		Renters		Gap Insurance		Personal Umbrella
Other Type
My insurance agency has made me aware of the fact that I may be underinsured or have no coverage at all in some circumstances of possible claims situations of both liability for bodily injury and/or property damage claim(s). I understand once my liability limits have been exhausted from a claim for bodily injury I am liable for my own defense costs and pre-judgment interest. Once the limits of liability have been exhausted from a claim, the insurance company's "Duty to Defend" ends.   I request the above change(s) to my insurance policy. My request has been carefully reviewed and selected and I understand my changes with no questions whatsoever.   Please be advised that no coverage can be bound nor any changes made to your policy until confirmed in writing by an employee during regular business hours. If you have not heard from us within 24 hrs (excluding weekends & holidays), please let us know as we may not have received your information.

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Tel:617-327-3870    Tel:888-492-5373    Fax: 617-327-3885