This website offers services to current and future residents of Massachusetts only.
Fall River, Westport and New Bedford Massachusetts  
 
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Automobile Quote - 1 Driver, 1 Vehicle
The quotes provided here are for Massachusetts only.
Fill out the form below to obtain a Massachusetts auto quote. All red fields are required. Be careful to include their information before submitting your form. This form is designed for quoting on one vehicle and one driver. For additional vehicles or drivers, see our Family Quote or feel free to call us.

For state of Massachusetts explanations of the coverages down in the "Insurance Coverages" section, click the "?" button next to the coverage. These help links connect you with the Massachusetts Division of Insurance website explanations of the various insurance coverages.
The quotes provided here are for Massachusetts only.
Vehicle(s) Registration Information Section
 The name and address to which the vehicle(s) is or will be registered:
Name:
Street:
City/State/Zip: / /
Home Phone: Work Phone:
Email Address:
Driver Information Section          Review Sections:
State Licensed: Driver 1
Years of Driving Experience: Driver 1
If less than 3 years, have you completed a course in Driver Training? Driver 1
Drivers License Number: Driver 1 
Date of Birth Driver 1
Please check what applies to the driver: Driver 1 Over the age of 65
Purchased a monthly transit
      pass (at least 11 months)
Vehicle Information Section          Review Sections:
Year Vehicle 1
Make Vehicle 1
Model
(Please be as specific as possible. ie. Honda Accord LX, 4 door)		 Vehicle 1
City Primarily Garaged: Vehicle 1
Please check all that apply to this vehicle.    
Airbags Vehicle 1
Automatic Seatbelts Vehicle 1
Drive less than 5,000 miles per year Vehicle 1
Drive between 5,000 miles and 7,500 miles per year Vehicle 1
Antitheft device (Alarm) Vehicle 1
Vehicle Recovery System (LoJack) Vehicle 1
Insurance Coverages Section          Review Sections:
Compulsory Insurance (Mandatory)
1. Bodily Injury to Others: Vehicle 1 $20,000 per person / $40,000 per accident
2. Personal Injury Protection: Vehicle 1 $8,000 per person
3. Bodily Injury caused by uninsured auto: Vehicle 1  $20,000 per person / $40,000 per accident
 $25,000 per person / $40,000 per accident
 $25,000 per person / $50,000 per accident
 $35,000 per person / $80,000 per accident
 $50,000 per person / $100,000 per accident
 $100,000 per person / $300,000 per accident
 $250,000 per person / $500,000 per accident
4. Damage to someone else'sproperty: Vehicle 1  $5,000
 $10,000
 $25,000
 $50,000
 $100,000
 $250,000
Optional Insurance
5. Optional Bodily Injury To Others: Vehicle 1  $20,000 per person / $40,000 per accident
 $25,000 per person / $40,000 per accident
 $25,000 per person / $50,000 per accident
 $35,000 per person / $80,000 per accident
 $50,000 per person / $100,000 per accident
 $100,000 per person / $300,000 per accident
 $250,000 per person / $500,000 per accident
6. Medical Payments: Vehicle 1  No Coverage
 $5,000 per person
 $10,000 per person
 $15,000 per person
 $20,000 per person
 $25,000 per person
7. Collision Coverage/ Deductible: Vehicle 1  No Coverage
 300
 500
 1000
8. Limited Collision: Vehicle 1  No
 Yes
9. Comprehensive Coverage: Vehicle 1  No Coverage
 300
 500
 1000
10. Substitute Transportation: Vehicle 1  No Coverage
 $15 per day
 $30 per day
 $100 per day
11. Towing and Labor: Vehicle 1  No Coverage
 $25 per incident
 $50 per incident
12. Bodily In-jury caused by underinsured: Vehicle 1  $20,000 per person /$40,000 per accident
 $25,000 per person / $50,000 per accident
 $35,000 per person / $80,000 per accident
 $50,000 per person / $100,000 per accident
 $100,000 per person / $300,000 per accident
 $250,000 per person / $500,000 per accident
    End of Form                          Review Sections:
Response Method    End of Form                          Review Sections:
Select Response Method, then
click the Submit button below
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Fax Number:
Mailing Address: Street:
  City/State/Zip: / /
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