Vehicle Insurance Quotation Example [Edit & Download]

Header Section

Insurance Company Name: SecureDrive Insurance Services
Address: 789 Safety Street, Cityville, USA
Contact Details: +1 123-456-7890
Quotation Number: VIQ2025005
Date: January 24, 2025
Customer Name: Michael Brown
Customer Address: 456 Elmwood Avenue, Cityville, USA

Vehicle Details

Make and Model: Toyota Camry
Year: 2023
Vehicle Type: Sedan
Fuel Type: Petrol
VIN (Vehicle Identification Number): 1HGCM82633A123456

Insurance Coverage

Coverage Type: Comprehensive Insurance

• Third-Party Liability Coverage: $100,000
• Collision Coverage: Up to the market value of the vehicle
• Theft Protection: Full vehicle value
• Personal Accident Cover: $20,000 per occupant
• Roadside Assistance: Included

Policy Duration: 1 Year (January 25, 2025 – January 24, 2026)

Price Breakdown

Base Premium: $1,200
Third-Party Liability Coverage Fee: $300
Personal Accident Cover Fee: $150
Roadside Assistance Fee: $50
Policy Issuance Fee: $25
Taxes (8%): $140

Total Premium: $1,865

Terms and Conditions

This insurance quotation is valid for 30 days from the date of issue. The policy provides coverage for damages caused by accidents, theft, natural disasters, or fire, as specified in the terms and conditions of the insurance agreement.

The customer is required to provide accurate details of the vehicle and usage. Any discrepancies may result in policy cancellation or claim rejection. Roadside assistance is limited to 3 service calls per year. The policy excludes coverage for intentional damages, illegal activities, or non-disclosed modifications to the vehicle.

Claims must be reported within 48 hours of the incident with necessary documentation. The deductible for each claim is $500. Renewal notices will be sent 30 days before the policy expiration.

Authorized Signatures

Insurance Company Representative Signature: ___________________________
Customer Signature: ___________________________

Date of Agreement: ___________________________