Personal Automobile Coverage Suspension Request Form

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  • What is your first name?
  • What is your last name?
  • What is your email address?
  • You are requesting to suspend coverage on your automobile policy to reduce your premium. Once this change is processed you will not have coverage for any claims if the vehicle(s) with coverage suspended is/are driven.
  • Enter the vehicle(s) from which you would like to remove coverage?
    YearMakeModel 
  • Please select the coverage(s) you would like to remove while the vehicle(s) are not in use.
  • What date would you like to have coverage removed?
    MM slash DD slash YYYY
  • Coverage will remain suspended until you notify us that you would like coverage reinstated. Vehicles with coverage suspended should not be driven until coverage is reinstated.
  • Please sign in the space below.
    Clear Signature
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Danielle Rice

As Director of Strategy and Engagement at Avery Insurance, Danielle serves as the bridge between carrier performance and client experience, aligning strategic vision with elevated service to create long-term value on both sides of the relationship. With over 20 years of commercial insurance expertise, Danielle is responsible for developing and managing high-level relationships with insurance carriers and the agency’s most elite clientele. In her role, Danielle plays a vital part in positioning Avery for sustained success in an evolving marketplace. She oversees carrier strategy, appetite alignment, portfolio performance, and contractual negotiations to ensure optimal placement and market access. Simultaneously, Danielle acts as a trusted advisor to several of Avery’s clients, delivering transformative risk solutions, strengthening long-term partnerships, and fulfilling the Avery Promise with every engagement. Danielle resides in Belmont, New Hampshire with her family. Outside the off

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