Customer Service Driver

Form_SCTNID_CTGRY.XX****VOI_OTHER

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

PROGRESSIVE

P.O. BOX 6807

CLEVELAND, OH 44101

NAIC Company Code: 37834

Policy Number: 965265071

Underwritten by:

Progressive Preferred Insurance Co

Policyholder :

CYNTHIA SAMPSON

Page 1 of 1

January 21, 2023

Customer Service

24 hours a day, 7 days a week

1-800-***-****

Verification of Insurance for

CYNTHIA SAMPSON

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: 965265071

Policy state: Colorado

Policy period: Jan 19, 2023 - Jul 19, 2023 There was no lapse in coverage during this policy period. Effective date: Jan 19, 2023 Drivers: CYNTHIA SAMPSON

Address:

2501 E 104TH AVE

DENVER, CO 80233

Vehicle information Vehicle:

Vehicle identification number:

2004 BUICK LESABRE

1G4HP52K944169972

Lienholder: Auto Finance Co. Inc.

PO Box 147111

Denver, CO 80204

Coverage information

Liability To Others

Bodily Injury Liability $25,000 each person/$50,000 each accident Property Damage Liability $25,000 each accident

Deductible:

Comprehensive Actual Cash Value $500

Deductible:

Collision Actual Cash Value $1,000

Form VOI (07/13)

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