Private Passenger Types    Class 7398
NOTE:  This worksheet is non-binding and may differ from the actual premium calculated for the policy once the application is submitted. Actual premium can only be calculated following receipt of a properly completed and executed application.
Instructions: If Experience Rating is applicable, use the Experience Rating Worksheet to determine the rating factor (CANNOT = 0!). Make selections, enter the requested information, and click the LIABILITY and TOTAL PREMIUM buttons.
	Experience Rating Factor:
Rates Effective: July 1, 2008 Territory/Garaging Location Select 11 12 13 17 18 19 23 24 25 26 28 30 31 32 33 34 35 Note: Not all limits are available for all risks - click for more info. BI Limits $20/40,000 25/50 50/100 100/300 250/500 500/500 500/1,000 1,000/1,000 100,000 CSL 1,000,000 CSL PD Limits $10,000 25,000 50,000 100,000 250,000 500,000 1,000,000 100,000 CSL 1,000,000 CSL Select PIP Not Principally Operated by Employees Principally Operated by Employees UM?MLPD? Additional Charges to PIP =	BI  PD  PPI  PIP  UM MLPD	Immediate Coverage? Physical Damage Coverage? Cost New 0-4,500 4,501-6,000 6,001-8,000 8,001-10,000 10,001-15,000 15,001-20,000 20,001-25,000 25,001-40,000 40,001-65,000 65,001-90,000 90,001-115,000 115,001-140,000 140,001-165,000 165,001-190,000 190,001-220,000 220,001-250,000 250,001-280,000 280,001-310,000 310,001-340,000 340,001-370,000 370,001-400,000 Age Group 1,2,3 4 5 6,7 8 9 10,11 12 No Comprehensive Coverage $100 Ded. Comp $250 Ded. Comp $500 Ded. Comp $1,000 Ded. Comp $2,000 Ded. Comp $3,000 Ded. Comp $5,000 Ded. Comp No Collision Coverage $100 Ded. Reg. Collision $100 Ded. Broad Collision $250 Ded. Reg. Collision $250 Ded. Broad Collision $500 Ded. Reg. Collision $500 Ded. Broad Collision $1,000 Ded. Reg. Collision $1,000 Ded. Broad Collision $2,000 Ded. Reg. Collision $2,000 Ded. Broad Collision $3,000 Ded. Reg. Collision $3,000 Ded. Broad Collision $5,000 Ded. Reg. Collision $5,000 Ded. Broad Collision $100 Ded. Limited Collision Limited Collision - No Ded. Physical Damage Premium = Minimum Deposit =
Comp OCN Factor = Comp Age Factor = Comp Ded Factor =	No Ded Comp Base = Comp Deduction = $100 Ded Comp Base =	Comp Manual Page = Comp Ded Premium = Comprehensive Premium =
Coll Age Factor = Coll OCN Factor = Coll Ded Factor =	$100 Ded Collision Base = $100 Ded Lim Coll Base =	Collision Manual Page = Collision Deductible Premium = Collision Premium =