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Supporting Documentation · Oct 25, 2022

271-22 Attachment-SUBMISSION.pdf

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_ PROGRESSUE P.O, Box 94739 ‘Cleveland, OH 44101 1-800-895-2886 Policy number: 958488296 Underwritten by: Drive New Jersey Insurance Company NAIC Number: 11410 May 27, 2022 Page 1 of 1 Certificate of Insurance Evan Dilluvio 976 Old School House Road Blairstown, NJ 07825 Tosured ss se cs sesesseeses hae Evan Dilluvio PROG COMMERCIAL kara Venella PO BOX 94739 976 OLD SCHOOL HOUSE ROAD CLEVELAND, OH 44101 BLAIRSTOWN, NJ 07825 This document certifies that insurance policies identified below have been issued by the designated insurer to the insured named above for the period(s) indicated. This Certificate is issued for information purposes only. it confers no rights upon the certificate holder and does not change, alter, modify, or extend the coverages afforded by the policies listed below. The coverages afforded by the policies listed below are subject to all the terms, exdusions, limitations, endorsements, and conditions of these policies. Liability coverage may not apply to all scheduled vehicles, Uninsured/linderinsured BD Description of Location/Vehides/Special Items Scheduled autos only 2016 TOYOTA PRIUS C JTDKDTB38G1 128884 (included in combined single limit w/$500 Ded) Medical Expense $15,000 Extended Medical Payments $1,000 Comprehensive $1,000 Ded Callision $1,000 Ded Ky Form 5241 (05/16)

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