In reply to Fredt:
In the USA you can be covered under your own insurance which is why the car hire insurance is so confusing.
The quoted prices won't include insurance. Or they might include third party only. If they do include insurance it might have a massive excess.
You need to get the terms and conditions of the hire to find out exactly what it covers. If you get loss damage waiver and collision damage waiver included that is good but check the loss includes theft and the excesses.
You can get full insurance and damage waiver from who you hire of although it will probably double what you are paying. Third party excess insurance is usually cheaper.
I found this out when hiring in the USA and we had to pay at the office as we didn't realise it wasn't included. Everyone thought it would be but it is usually included on their car insurance. It doubled the cost (Enterprise) but on the plus side they switched out our car when we got a puncture for no extra cost. Not all insurance will include tyre damage. Now when we go my wife (US Citizen) is usually the primary driver and we use her insurance. They usually accept me being covered as the second driver no problem. So check with your friend's insurance company.
Post edited at 13:13