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    This document is a temporary evidence of insurance coverage form from Progressive Insurance for Thomas Jones. It provides coverage details for two vehicles - a 1996 Chevrolet C1500/K1500 with VIN 1GCEC19MXTE125068 and a 1998 Chrysler Concorde with VIN 2C3HD46J4WH195284. The coverage period is from January 5, 2011 to July 5, 2011 under policy number 65941813-0.

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    This document is a temporary evidence of insurance coverage form from Progressive Insurance for Thomas Jones. It provides coverage details for two vehicles - a 1996 Chevrolet C1500/K1500 with VIN 1GCEC19MXTE125068 and a 1998 Chrysler Concorde with VIN 2C3HD46J4WH195284. The coverage period is from January 5, 2011 to July 5, 2011 under policy number 65941813-0.

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    This document is a temporary evidence of insurance coverage form from Progressive Insurance for Thomas Jones. It provides coverage details for two vehicles - a 1996 Chevrolet C1500/K1500 with VIN 1GCEC19MXTE125068 and a 1998 Chrysler Concorde with VIN 2C3HD46J4WH195284. The coverage period is from January 5, 2011 to July 5, 2011 under policy number 65941813-0.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    156 views1 page

    Auto Display Page

    Uploaded by

    Kaleb Maleek Bailey
    This document is a temporary evidence of insurance coverage form from Progressive Insurance for Thomas Jones. It provides coverage details for two vehicles - a 1996 Chevrolet C1500/K1500 with VIN 1GCEC19MXTE125068 and a 1998 Chrysler Concorde with VIN 2C3HD46J4WH195284. The coverage period is from January 5, 2011 to July 5, 2011 under policy number 65941813-0.

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    <docindex><index>TEIFORM</index></docindex>

    Progressive
    PO Box 31260
    Tampa, FL 33631

    Underwritten by:
    Progressive Garden State Ins Co

    Policy number: 65941813-0


    THOMAS JONES Policy period: Jan 5, 2011 - Jul 5, 2011
    16 PIERCETOWN RD Effective date: Jan 5, 2011
    BRIDGETON, NJ 08302 Expiration date: Jan 25, 2011

    800-776-4737
    Customer Service - 24 hours a day,
    7 days a week

    Temporary Evidence of Insurance Coverage


    Policyholder: THOMAS JONES

    Vehicle Vehicle identification number


    ………………………………………………………………………………………………………………………………………………………
    1996 CHEVROLET C1500/K1500 1GCEC19MXTE125068
    ………………………………………………………………………………………………………………………………………………………
    1998 CHRYSLER CONCORDE 2C3HD46J4WH195284

    The Temporary Evidence of Insurance Coverage is not an insurance identification card and should
    be destroyed upon receipt of the permanent identification card.
    This document cannot be used as proof of insurance for the purpose of having a vehicle
    inspected at a Motor Vehicle Commission or private facility.
    ADDRESS FOR NOTIFICATION OF COMMENCEMENT OF MEDICAL TREATMENT:

    Progressive
    c/o Procura
    PO Box 879
    Oaks, PA 19456
    Form Z186 NJ (09/06)

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