MASSACHUSETTS AUTO INSURANCE ESTIMATE
Already have insurance with Sterling?
Yes
No
The following series of questions are necesary for Sterling Insurance to provide you with an accurate insurance quote.
GENERAL INFORMATION DRIVER #1
First Name:
Last Name:
(Please enter your name as shown on our license.)
Street Address:
City:
Zip:
(ex. 02905)
Daytime Phone:
Email Address:
How many years licensed:
Licensed State:
Eligible for age over 65 discount:
Yes
No
ADDITIONAL DRIVERS IF APPLICABLE
DRIVER #2
DRIVER #3
First Name:
(Please enter name as shown on our license.)
Last Name:
How many years Licensed:
Licensed State:
VEHICLE INFORMATION
VEHICLE #1
VEHICLE #2
VEHICLE #3
Year:
Make & Model:
Type of Vehicle:
Odometer Reading:
Antitheft Device:
None
Passive Device
Alarm / Active Device
None
Passive Device
Alarm / Active Device
None
Passive Device
Alarm / Active Device
LoJack:
Yes
No
Yes
No
Yes
No
MOTORCYCLE INFORMATION
Motorcycle Value & Engine Size:
COVERAGE SELECTIONS
Coverage Information - Mandatory
Coverages shown in drop down menus are Sterling Insurance minimum recommended. Other coverage is available.
VEHICLE #1
VEHICLE #2
VEHICLE #3
Part 1:
Bodily Injury
Part 2:
Personal Injury Protection Deductible
Part 3:
Uninsured Motorists
$20,000/40,000
$20,000/50,000
$25,000/80,000
$50,000/100,000
$100,000/300,000
$250,000/500,000
$500,000/1,000,000
$20,000/40,000
$20,000/50,000
$25,000/80,000
$50,000/100,000
$100,000/300,000
$250,000/500,000
$500,000/1,000,000
$20,000/40,000
$20,000/50,000
$25,000/80,000
$50,000/100,000
$100,000/300,000
$250,000/500,000
$500,000/1,000,000
Part 4:
Property Damage
$100,000
$50,000
$25,000
$10,000
$5000
$100,000
$50,000
$25,000
$10,000
$5000
$100,000
$50,000
$25,000
$10,000
$5000
Coverage Information - Optional
Part 5:
Optional Bodily Injury
$20,000/40,000
$20,000/50,000
$25,000/80,000
$50,000/100,000
$100,000/300,000
$250,000/500,000
$500,000/1,000,000
$20,000/40,000
$20,000/50,000
$25,000/80,000
$50,000/100,000
$100,000/300,000
$250,000/500,000
$500,000/1,000,000
$20,000/40,000
$20,000/50,000
$25,000/80,000
$50,000/100,000
$100,000/300,000
$250,000/500,000
$500,000/1,000,000
Part 6:
Medical Payments
$5,000
$10,000
$15,000
$20,000
$25,000
$50,000
$100,000
No coverage
$5,000
$10,000
$15,000
$20,000
$25,000
$50,000
$100,000
No coverage
$5,000
$10,000
$15,000
$20,000
$25,000
$50,000
$100,000
No coverage
Part 7:
Collision Deductible
$300
$500
$1,000
$2,000
No coverage
$300
$500
$1,000
$2,000
No coverage
$300
$500
$1,000
$2,000
No coverage
Part 8:
Limited Collision
$0
$300
$500
No coverage
$0
$300
$500
No coverage
$0
$300
$500
No coverage
Part 9:
Comprehensive Deductible
$0
$300
$500
$1000
No coverage
$0
$300
$500
$1000
No coverage
$0
$300
$500
$1000
No coverage
Part 10:
Substitute Transportation
$15/day - $450 max.
$30/day - $900 max.
$100/day - $3000 max.
No coverage
$15/day - $450 max.
$30/day - $900 max.
$100/day - $3000 max.
No coverage
$15/day - $450 max.
$30/day - $900 max.
$100/day - $3000 max.
No coverage
Part 11:
Towing & Labor
$50 per disablement
$100 per disablement
No coverage
$50 per disablement
$100 per disablement
No coverage
$50 per disablement
$100 per disablement
No coverage
Part 12:
Underinsured Motorists
$100,000/300,000
$20,000/40,000
$25,000/50,000
$50,000/100,000
$250,000/500,000
$500,000/1,000,000
No coverage
$100,000/300,000
$20,000/40,000
$25,000/50,000
$50,000/100,000
$250,000/500,000
$500,000/1,000,000
No coverage
$100,000/300,000
$20,000/40,000
$25,000/50,000
$50,000/100,000
$250,000/500,000
$500,000/1,000,000
No coverage
Information provided is for quoting purposes and coverage
can not be issued or bound over the internet.
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