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Verification of Insurance

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aminullahzazai89
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73 views1 page

Verification of Insurance

Uploaded by

aminullahzazai89
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Form_SCTNID_CTGRY.

XX0713VOI_OTHER

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

PROGRESSIVE
P.O. BOX 31260
TAMPA, FL 33631
NAIC Company Code: 11851
Policy Number: 980316048
Underwritten by:
Progressive Advanced Insurance Co
Policyholder :
Qadir Baz
Page 1 of 1
June 21, 2024
Customer Service
1-800-776-4737
24 hours a day, 7 days a week

Verification of Insurance for


Qadir Baz
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: 980316048
……………………………………………………………………………………………………………………………………
Policy state: Pennsylvania
……………………………………………………………………………………………………………………………………
Policy period:
…………………………………………………………………………………………………………………………………… Apr 24, 2024 - Oct 24, 2024
There was no lapse in coverage during this policy
…………………………………………………………………………………………………………………………………… period.
Effective date:
…………………………………………………………………………………………………………………………………… Jun 14, 2024
Drivers: Qadir Baz
Aminullah Zazi
Samiullah Zazai
……………………………………………………………………………………………………………………………………
Address: 255 East 13 Street
1
Erie, PA 16503
Vehicle information
……………………………………………………………………………………………………………………………………
Vehicle: 2016 TOYOTA PRIUS
……………………………………………………………………………………………………………………………………
Vehicle identification number: JPDKARSU5G3019186

Coverage information
……………………………………………………………………………………………………………………………………
Liability To Others
Bodily Injury Liability $15,000 each person/$30,000 each accident
Property Damage Liability $5,000 each accident
……………………………………………………………………………………………………………………………………
Comprehensive Actual Cash Value Deductible: $2,500
……………………………………………………………………………………………………………………………………
Collision Actual Cash Value Deductible: $2,500

Form VOI (07/13)

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