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Kerrigan & O'Malley Insurance Agency

                                                                                           Serving Massachusetts since 1938

Auto Home Owners Business Life

Personal Automobile Protection

To properly protect yourself from the always-present danger of huge awards for auto liability, it is imperative that you maintain the proper level of coverage for your particular situation. If you have any doubts about the appropriate level of automobile coverage that’s right for you, we have excellent plans available through reputable auto insurers, and we will be happy to help pinpoint the coverage best suited to your needs.

Discounts available including AAA and combined Auto/Homeowners policies. We provide Free Registry Service. We can do registry transfers, renewals, & issue most new license plates right from our office for our customers.  This is truly one stop shopping. 

Please fill out the form below for a free quote.

For used car values, visit this link to Kelly Blue Book.
For Frequently Asked Questions about Auto Insurance Click Here

Vehicle(s) Registration Information Section (Massachusetts ONLY)
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
Years of Driving Experience: Driver
If less than 3 years, have you completed a course in Driver Training? Driver
Drivers License Number: Driver  
Date of Birth Driver
Please check what applies to the driver: Driver Over the age of 65
Purchased a monthly   transit pass (at least 11 months)
AAA Member
Has driver had any at-fault accidents or moving violations in the past six (6) years? Driver
If yes, please give a brief description:

 Driver
Vehicle Information Section          Review Sections: Drivers  Coverages
Year Vehicle
Make Vehicle
Model
(Please be as specific as possible. ie. Honda Accord LX, 4 door)		 Vehicle
City Primarily Garaged: Vehicle
Please check all that apply to this vehicle.    
Airbags Vehicle
Automatic Seatbelts Vehicle
Drive less than 5,000 miles per year Vehicle
Drive between 5,000 miles and 7,500 miles per year Vehicle
Antitheft device (Alarm) Vehicle
Vehicle Recovery System (LoJack) Vehicle
Insurance Coverages Section          Review Sections: Drivers  Vehicles 
Compulsory Insurance (Mandatory)

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1. Bodily Injury to Others:

 Vehicle $20,000 per person / $40,000 per accident

?

2. Personal Injury Protection:

 Vehicle $8,000 per person

?

3. Bodily Injury caused by uninsured auto:

 Vehicle

?

 4. Damage to someone else's property: Vehicle

Optional Insurance

?

 5. Optional Bodily Injury To Others: Vehicle

?

 6. Medical Payments: Vehicle

?

 7. Collision Coverage/ Deductible: Vehicle

?

 8. Limited Collision: Vehicle

?

 9. Comprehensive Coverage: Vehicle

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 10. Substitute Transportation: Vehicle

?

 11. Towing and Labor: Vehicle

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 12. Bodily In-jury caused by underinsured: Vehicle
    End of Form                          Review Sections: Drivers  Vehicles  Coverages

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Copyright © 2002 Kerrigan & O'Malley Insurance Agency
Last modified: March 05, 2008