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Form_SCTNID_CTGRY.

WV0311A023E_IDCARD

Certificate of Insurance - West Virginia


<docindex><index>IDCARD</index></docindex>

Insurer: Progressive Max Insurance Company 1-800-776-4737


Policy Number: 910380674 Date certificate issued: 02/07/2021
Effective Date: 12/04/2020 Expiration Date: 06/04/2021
NAIC Number: 24279
Named Insured(s):
Johnny r Collins
PO Box 65
Whitesville, WV 25209

Year Make Model VIN


2016 Ford F150 1FTEX1EP0GKF93791
2011 Chevrolet Malibu 1G1ZC5E1XBF282962
2020 Toyota Camry 4T1G11AK1LU331406
<docindex><index>IDCARD</index></docindex>
Johnny r Collins

Platinum Membership
Valued Customer Since 2016

Form A023 WV (03/11)


IF YOU'RE IN AN ACCIDENT
1. Remain at the scene. Don't admit fault.
<docindex><index>IDCARD</index></docindex>

2. Find a safe location, call the police, and exchange driver information.
3. Call Progressive right away.

TO REPORT A CLAIM
Call 1-800-274-4499 or go to claims.progressive.com.

KEEP THIS CARD IN YOUR VEHICLE WHILE IN OPERATION.


An authorized West Virginia insurer certifies that there is in effect a motor
<docindex><index>IDCARD</index></docindex>

vehicle liability policy upon the described vehicle in accordance with the
provisions of the West Virginia Motor Vehicle Code.

THIS CERTIFICATE MUST BE CARRIED IN THE VEHICLE DESCRIBED ABOVE FOR


USE AS PROOF OF INSURANCE. A COPY OF THIS CERTIFICATE MAY BE
REQUESTED BY THE COMMISSIONER OF MOTOR VEHICLES.

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