A Full Service Agency
662 Riverdale St, West Springfield, MA 01089
413-732-4137, 800-642-9386, fax 413-731-6629
Hours 8:30 AM to 4:30 PM Monday - Friday

Personal Auto

Automobile insurance is required by the State of Massachusetts. The rate is set by the Department of insurance and our companies offer various discounts off this set rate, plus they offer an additional 10% to 15% off the house insurance.

• Travelers/Premier - up to 2% discount, plus a multi car discount of 7%
• Safety Insurance – multi car discount of 5%
• Commerce - Auto group discount with AAA - up to 5%, multi car discount of 5%

We offer the following services to our customers.

• fast auto quotes
• registry service
• fast claim service
• request a copy of the consumer guide "Ways to save on your Massachusetts Automobile Insurance"

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Commercial Auto Information

	Auto #1	Auto #2	Auto #3	Auto #4
Year
Make
Model
VIN #
Miles Per Year
Anti-Theft Device
Gross Weight
Cost New

How is vehicle used? (Personal, Service, Commercial or Retail)

Vehicle #1 Personal Service Commercial Retail #2 Personal Service Commercial Retail #3 Personal Service Commercial Retail #4 Personal Service Commercial Retail

Coverage Information

	Auto #1	Auto #2	Auto #3	Auto #4
Bodily Injury	20,000/40,000	20,000/40,000	20,000/40,000	20,000/40,000
Personal Injury Protection.	8,000	8,000	8,000	8,000
Opt. Bodily Injury	20,000/40,000 25,000/50,000 30,000/70,000 50,000/100,000 100,000/300,000 250,000/500,000 500,000/1,000,000	Select 20,000/40,000 25,000/50,000 30,000/70,000 50,000/100,000 100,000/300,000 250,000/500,000 500,000/1,000,000	Select 20,000/40,000 25,000/50,000 30,000/70,000 50,000/100,000 100,000/300,000 250,000/500,000 500,000/1,000,000	Select 20,000/40,000 25,000/50,000 30,000/70,000 50,000/100,000 100,000/300,000 250,000/500,000 500,000/1,000,000
Property Damage	5,000 10,000 15,000 20,000 25,000 50,000 100,000	Select 5,000 10,000 15,000 20,000 25,000 50,000 100,000	Select 5,000 10,000 15,000 20,000 25,000 50,000 100,000	Select 5,000 10,000 15,000 20,000 25,000 50,000 100,000
Medical Payments	None 5,000 10,000 15,000 20,000 25,000 50,000 100,000	None 5,000 10,000 15,000 20,000 25,000 50,000 100,000	None 5,000 10,000 15,000 20,000 25,000 50,000 100,000	None 5,000 10,000 15,000 20,000 25,000 50,000 100,000
Uninsured Motorists	20,000/40,000 25,000/50,000 30,000/70,000 50,000/100,000 100,000/300,000 250,000/500,000 500,000/1,000,000	Select 20,000/40,000 25,000/50,000 30,000/70,000 50,000/100,000 100,000/300,000 250,000/500,000 500,000/1,000,000	Select 20,000/40,000 25,000/50,000 30,000/70,000 50,000/100,000 100,000/300,000 250,000/500,000 500,000/1,000,000	Select 20,000/40,000 25,000/50,000 30,000/70,000 50,000/100,000 100,000/300,000 250,000/500,000 500,000/1,000,000
Underinsured Motorists	20,000/40,000 25,000/50,000 30,000/70,000 50,000/100,000 100,000/300,000 250,000/500,000 500,000/1,000,000	Select 20,000/40,000 25,000/50,000 30,000/70,000 50,000/100,000 100,000/300,000 250,000/500,000 500,000/1,000,000	Select 20,000/40,000 25,000/50,000 30,000/70,000 50,000/100,000 100,000/300,000 250,000/500,000 500,000/1,000,000	Select 20,000/40,000 25,000/50,000 30,000/70,000 50,000/100,000 100,000/300,000 250,000/500,000 500,000/1,000,000
Comprehensive	No Coverage 300 Deductible 500 Deductible 1,000 Deductible 2,000 Deductible	Select No Coverage 300 Deductible 500 Deductible 1,000 Deductible 2,000 Deductible	Select No Coverage 300 Deductible 500 Deductible 1,000 Deductible 2,000 Deductible	Select No Coverage 300 Deductible 500 Deductible 1,000 Deductible 2,000 Deductible
Collision	No Coverage 300 Deductible 500 Deductible 1,000 Deductible 2,000 Deductible	Select No Coverage 300 Deductible 500 Deductible 1,000 Deductible 2,000 Deductible	Select No Coverage 300 Deductible 500 Deductible 1,000 Deductible 2,000 Deductible	Select No Coverage 300 Deductible 500 Deductible 1,000 Deductible 2,000 Deductible
Limited Collision	No Coverage No Deductible	No Coverage No Deductible	No Coverage No Deductible	No Coverage No Deductible
Loss Of Use	No Coverage $15/day ($450 max) $30/day ($900 max)	Select No Coverage $15/day ($450 max) $30/day ($900 max)	Select No Coverage $15/day ($450 max) $30/day ($900 max)	Select No Coverage $15/day ($450 max) $30/day ($900 max)
Towing	No Coverage $25/disablement $50/disablement	Select No Coverage $25/disablement $50/disablement	Select No Coverage $25/disablement $50/disablement	Select No Coverage $25/disablement $50/disablement

Driver Information

Name	Date of Birth	License Number	State

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