Company

Acuity

Company

Acuity

Company

Acuity

Program

Level 1

Program

Level 2

Program

Level 3

Credit Score/Financial

Superior     ChoicePoint score of _____________

Credit Score/Financial

ChoicePoint score of _____________

Credit Score/Financial

ChoicePoint score of _____________

Prior Insurance

Prior Insurance

Prior Insurance

Prior Carrier

Prior coverage in standard market for past 36 months

Prior Carrier

Prior coverage in standard market for past 12 months

Prior Carrier

Prior coverage in standard market

Lapse of Prior Coverage

No lapse of coverage permitted

Lapse of Prior Coverage

No lapse of coverage permitted

Lapse of Prior Coverage

No lapse of coverage permitted

Drivers

Drivers

Drivers

Driver Age

Age 25 to 69  -  9 years experience

Driver Age

Age 23 to 69  -  7 years experience

Driver Age

Age 21 to 69  -  5 years experience

Children’s Age

any age with full license

Children’s Age

any age with full license

Children’s Age

any age with full license

Physical Impairments

None known

Physical Impairments

None known

Physical Impairments

None known

Room Mates Information

All insured with Acuity or if not they must qualify for Level 1

Room Mates Information

All insured with Acuity or if not they must qualify for Level 2

Room Mates Information

All insured with Acuity or if not they must qualify for Level 3

Are Excluded Drivers Allowed

No

Are Excluded Drivers Allowed

No

Are Excluded Drivers Allowed

No

Other Driver Items

Driver experience only counts with full license (restricted license does not count).

Other Driver Items

Driver experience only counts with full license (restricted license does not count).

Other Driver Items

Driver experience only counts with full license (restricted license does not count).

Driving Record/Losses

Driving Record/Losses

Driving Record/Losses

Record Experience Period

4 years

Record Experience Period

3 years

Record Experience Period

3 years

At Fault Accidents per Person

0 in 4 years

At Fault Accidents per Person

1 in 3 years

At Fault Accidents per Person

1 in 3 years

At Fault Accidents per Policy

0 in 4 years

At Fault Accidents per Policy

1 in 3 years

At Fault Accidents per Policy

1 in 3 years

No Fault Accidents per Person

0 in 3 years

No Fault Accidents per Person

1 in 3 years

No Fault Accidents per Person

2 in 3 years

No Fault Accidents per Policy

0 in 3 years

No Fault Accidents per Policy

1 in 3 years

No Fault Accidents per Policy

2 in 3 years

Minor Convictions per Person

0 in 3 years

Minor Convictions per Person

1 in 3 years

Minor Convictions per Person

2 in 3 years

Minor Convictions per Policy

0 in 3 years

Minor Convictions per Policy

1 in 3 years

Minor Convictions per Policy

2 in 3 years

Maximum Incidents per Person

0 in 3 years

Maximum Incidents per Person

1 in 3 years

Maximum Incidents per Person

2 in 3 years

Maximum Incidents per Policy

0 in 3 years

Maximum Incidents per Policy

1 in 3 years

Maximum Incidents per Policy

2 in 3 years

At Fault Accident with Ticket

0 permitted

At Fault Accident with Ticket

1 in 3 years - treated as 1 accident only

At Fault Accident with Ticket

1 in 3 years

Major Convictions

0 for 6 years……includes DWI, Reckless, Speed 20 MPH over limit, Leaving Scene of Acc, Suspension of license, Felony Coniviction, Any SR22 filing

Major Convictions

0 for 5 years……includes DWI, Reckless, Speed 20 MPH over limit, Leaving Scene of Acc, Suspension of license, Felony Coniviction, Any SR22 filing

Major Convictions

0 for 5 years……includes DWI, Reckless, Speed 20 MPH over limit, Leaving Scene of Acc, Suspension of license, Felony Coniviction, Any SR22 filing

Window Chip Comp Losses

1 or 2 are OK if no other losses

Window Chip Comp Losses

1 or 2 are OK if no other losses

Window Chip Comp Losses

1 or 2 are OK if no other losses

Other Comp Losses

1 per policy

Other Comp Losses

1 or 2 per policy

Other Comp Losses

1 or 2 per policy

No Fault Collision Losses

treat as a no fault accident

No Fault Collision Losses

treat as a no fault accident

No Fault Collision Losses

treat as a no fault accident

At Fault Accident Surcharge

0 permitted in level 1 (1 point 20% over $600)

At Fault Accident Surcharge

1 permitted in level 2 (1 point 20% over $600 - each additional add .40)

At Fault Accident Surcharge

1 permitted in level 2 (1 point 20% over $600 - each additional add .40)

Other Records/Loss Items

Other Records/Loss Items

Other Records/Loss Items

Vehicle Rating Items

Vehicle Rating Items

Vehicle Rating Items

Number of Vehicles

1 or more

Number of Vehicles

1 or more

Number of Vehicles

1 or more

Vehicle Age Limitations

No limits

Vehicle Age Limitations

No limits

Vehicle Age Limitations

No limits

Coverage Requirements

No limits

Coverage Requirements

No limits

Coverage Requirements

No limits

Business Use Allowed

Salesman use OK - no delivery

Business Use Allowed

Salesman use OK - no delivery

Business Use Allowed

Salesman use OK - no delivery

Contractor Use Allowed

Artison use OK - no building material hauling - tools OK

Contractor Use Allowed

Artison use OK - no building material hauling - tools OK

Contractor Use Allowed

Artison use OK - no building material hauling - tools OK

One Ton Pickup Allowed

No

One Ton Pickup Allowed

No

One Ton Pickup Allowed

No

Limit on Miles to Work

No limit

Limit on Miles to Work

No limit

Limit on Miles to Work

No limit

Limit on Annual Mileage

No limit

Limit on Annual Mileage

No limit

Limit on Annual Mileage

No limit

Other Vehicle Rating Items

Extra cars rated at best level of any car ins'd

Other Vehicle Rating Items

Extra cars rated at best level of any car ins'd

Other Vehicle Rating Items

Extra cars rated at best level of any car ins'd

Other Rating Items

Other Rating Items

Other Rating Items

Coverage Limit Rating Items

Coverage Limit Rating Items

Coverage Limit Rating Items

Miles to Work Rating Criteria

1 or 2;  3 to 9; 10 to 14; 15 and over

Miles to Work Rating Criteria

1 or 2;  3 to 9; 10 to 14; 15 and over

Miles to Work Rating Criteria

1 or 2;  3 to 9; 10 to 14; 15 and over

U S Citizen Requirement

No

U S Citizen Requirement

No

U S Citizen Requirement

No

Supporting Policy Requirement

None

Supporting Policy Requirement

None

Supporting Policy Requirement

None

Other Rating Items

7500 or less annual miles classification

Other Rating Items

7500 or less annual miles classification

Other Rating Items

7500 or less annual miles classification

Discount-Surcharges

Discount-Surcharges

Discount-Surcharges

Homeowners Package Discount

Yes - 15%

Homeowners Package Discount

Yes - 15%

Homeowners Package Discount

Yes - 15%

Home Ownership Discount

No

Home Ownership Discount

No

Home Ownership Discount

No

Multi Car Discount

Yes - 20% - Single car policy qualifies if one driver also has a company car for personal use

Multi Car Discount

Yes - 20% - Single car policy qualifies if one driver also has a company car for personal use

Multi Car Discount

Yes - 20% - Single car policy qualifies if one driver also has a company car for personal use

Claim Free Discount

No

Claim Free Discount

No

Claim Free Discount

No

Good Student Discount

Yes - age 16-24 full time student with B average or better - requires proof

Good Student Discount

Yes - age 16-24 full time student with B average or better - requires proof

Good Student Discount

Yes - age 16-24 full time student with B average or better - requires proof

Drivers Training Discount

No

Drivers Training Discount

No

Drivers Training Discount

No

Air Bags Discount

No

Air Bags Discount

No

Air Bags Discount

No

Anti-lock Brakes Discount

No

Anti-lock Brakes Discount

No

Anti-lock Brakes Discount

No

Passive Sec Alarm Discount

No

Passive Sec Alarm Discount

No

Passive Sec Alarm Discount

No

Active Sec Alarm Discount

No

Active Sec Alarm Discount

No

Active Sec Alarm Discount

No

Other Discounts & Surcharges

Renewal discounts start after one year with company.

Other Discounts & Surcharges

Renewal discounts start after one year with company.

Other Discounts & Surcharges

Renewal discounts start after one year with company.

Vehicles

Vehicles

Vehicles

Unacceptable Vehicles

Values over $75,000

Unacceptable Vehicles

Values over $75,000

Unacceptable Vehicles

Values over $75,000

Restricted Vehicles

None

Restricted Vehicles

None

Restricted Vehicles

None

Motor Home Rating

Yes -- choose symbol based on cost new - rate using priority and the  internet site

Motor Home Rating

Yes -- choose symbol based on cost new - rate using priority and the  internet site

Motor Home Rating

Yes -- choose symbol based on cost new - rate using priority and the  internet site

Travel Trailer Rating

Yes -- choose symbol based on cost new - rate using priority and the  internet site

Travel Trailer Rating

Yes -- choose symbol based on cost new - rate using priority and the  internet site

Travel Trailer Rating

Yes -- choose symbol based on cost new - rate using priority and the  internet site

Other Trailer Rating

Yes -- choose symbol based on cost new - rate using priority and the  internet site

Other Trailer Rating

Yes -- choose symbol based on cost new - rate using priority and the  internet site

Other Trailer Rating

Yes -- choose symbol based on cost new - rate using priority and the  internet site

Conversion Van Rating

Yes - Determine price new of van plus the conversion package.  Use the price new-symbol guide to determine symbol - rate using priority and the  internet site

Conversion Van Rating

Yes - Determine price new of van plus the conversion package.  Use the price new-symbol guide to determine symbol - rate using priority and the  internet site

Conversion Van Rating

Yes - Determine price new of van plus the conversion package.  Use the price new-symbol guide to determine symbol - rate using priority and the  internet site

Pickup Topper Rating

Toppers are covered when attached to pickups - no additional premium.

Pickup Topper Rating

Toppers are covered when attached to pickups - no additional premium.

Pickup Topper Rating

Toppers are covered when attached to pickups - no additional premium.

Other Vehicle Items

Other Vehicle Items

Other Vehicle Items

Policy Term/Payments

Policy Term/Payments

Policy Term/Payments

Policy Term

6 months monoline - 12 months Per Pak & Road & Res

Policy Term

6 months monoline - 12 months Per Pak & Road & Res

Policy Term

6 months monoline - 12 months Per Pak & Road & Res

Billed Payments Available

12 month or 6 month payment in full - no fees……12 month (over $500) - 2 equal payments 50% downpayment - no fee and 50% plus $4 due in 5 months…… 12 month (over $1000) - 15% down with no fee and balance due in 10 equal installemtns plus $4 fee on each payment…..12 month (over $500) 4 equal installemtns of 25%-$4 fee on billed payments - no fee on initial downpayment…… 6 month (over $150) 20% down - no fee and 4 equal payments plus $4 fee,,,,6 month (less than $150) 40% down no fee and balance in 2 equal installments plus $4 fee.

Billed Payments Available

12 month or 6 month payment in full - no fees……12 month (over $500) - 2 equal payments 50% downpayment - no fee and 50% plus $4 due in 5 months…… 12 month (over $1000) - 15% down with no fee and balance due in 10 equal installemtns plus $4 fee on each payment…..12 month (over $500) 4 equal installemtns of 25%-$4 fee on billed payments - no fee on initial downpayment…… 6 month (over $150) 20% down - no fee and 4 equal payments plus $4 fee,,,,6 month (less than $150) 40% down no fee and balance in 2 equal installments plus $4 fee.

Billed Payments Available

12 month or 6 month payment in full - no fees……12 month (over $500) - 2 equal payments 50% downpayment - no fee and 50% plus $4 due in 5 months…… 12 month (over $1000) - 15% down with no fee and balance due in 10 equal installemtns plus $4 fee on each payment…..12 month (over $500) 4 equal installemtns of 25%-$4 fee on billed payments - no fee on initial downpayment…… 6 month (over $150) 20% down - no fee and 4 equal payments plus $4 fee,,,,6 month (less than $150) 40% down no fee and balance in 2 equal installments plus $4 fee.

EFT Payments Available

Yes - equal monthly payments - no fee ($500 6 month & $1000 12 month minimum premium)

EFT Payments Available

Yes - equal monthly payments - no fee ($500 6 month & $1000 12 month minimum premium)

EFT Payments Available

Yes - equal monthly payments - no fee ($500 6 month & $1000 12 month minimum premium)

Credit Card Payment Available

Yes - 1 payment or equal monthly plus $4 fee ($500 6 month, $1000 12 month)

Credit Card Payment Available

Yes - 1 payment or equal monthly plus $4 fee ($500 6 month, $1000 12 month)

Credit Card Payment Available

Yes - 1 payment or equal monthly plus $4 fee ($500 6 month, $1000 12 month)

App Binding Requirement

App Binding Requirement

App Binding Requirement

Claim Reporting Procedure

Call company to report claims - 1-800-242-7666   (24 Hour Service)

Claim Reporting Procedure

Call company to report claims - 1-800-242-7666   (24 Hour Service)

Claim Reporting Procedure

Call company to report claims - 1-800-242-7666   (24 Hour Service)