Form_SCTNID_CTGRY.

XX0713VOI_OTHER

<docindex><index>VOI</index></docindex>

PROGRESSIVE
P.O. BOX 6807
CLEVELAND, OH 44101
NAIC Company Code: 24260
Policy Number: 932442456
Underwritten by:
Progressive Casualty Insurance Co
Policyholder:
JEREMY WARE
Page 1 of 1
April 26, 2021
Customer Service
1-800-876-5581
24 hours a day, 7 days a week

Verification of Insurance for

JEREMY WARE
This verification of insurance is not an insurance policy and does not amend, extend or alter the coverage afforded by
the policies listed herein. Notwithstanding any requirement, term or condition of any contract or other document with
respect to which this verification of insurance may be issued or may pertain, the insurance afforded by the policies
described herein is subject to all the terms, exclusions and conditions of the policies.

Please accept this letter as verification of insurance for this policy.

Policy and driver information

……………………………………………………………………………………………………………………………………
Policy number: 932442456
……………………………………………………………………………………………………………………………………
Policy state: New York
……………………………………………………………………………………………………………………………………
ICC Code:
…………………………………………………………………………………………………………………………………… 413
Policy period:
…………………………………………………………………………………………………………………………………… Feb 28, 2021 - Aug 28, 2021
There was no lapse in coverage during this policy period.
……………………………………………………………………………………………………………………………………
Effective date:
…………………………………………………………………………………………………………………………………… Feb 28, 2021
Drivers: JEREMY WARE
……………………………………………………………………………………………………………………………………
Address: PO Box 66
Hannibal, NY 13074

Vehicle information
……………………………………………………………………………………………………………………………………
Vehicle: 2006 DODGE STRATUS
……………………………………………………………………………………………………………………………………
Vehicle identification number: 1B3AL46TX6N219551

Coverage information
……………………………………………………………………………………………………………………………………
Liability To Others
Bodily Injury Liability $25,000 each person/$50,000 each accident
Property Damage Liability $10,000 each accident
……………………………………………………………………………………………………………………………………
Mandatory Personal Injury Protection $50,000 each person Deductible: $200

Form VOI (07/13)