This document contains verification of insurance for Greg Lobkowski. It lists his policy number, the insurance company, the policy period of August 12, 2013 to February 12, 2014, and his address. It also provides the vehicle information, which is a 1997 Buick Lesabre with vehicle identification number 1G4HP52K0VH563239. It states the bodily injury and property damage coverage is 15/30/5.

1. Form_SCTNID_CTGRY.XX1106FAXCRC_OTHER
Tampa, FL 33631
PO Box 31260
Progressive
Policy Number: 61862184-0
Underwritten by:
Progressive Select Insurance Co
Policyholder:
Greg Lobkowski
August 17, 2013
Page of1 1
Customer Service
24 hours a day, 7 days a week
1-800-776-4737
Mailing Address:
Progressive
PO Box 31260
Tampa, FL 33631-3260
Requested policy documents
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Verification of Insurance

2. Form_SCTNID_CTGRY.CA0305VOI_OTHER
Tampa, FL 33631
PO Box 31260
Progressive
Company Code: 10192
Policy Number: 61862184-0
Underwritten by:
Progressive Select Insurance Co
Policyholder:
Greg Lobkowski
Page of1 1
August 17, 2013
Customer Service
24 hours a day, 7 days a week
1-800-776-4737
Verification of Insurance for
Greg Lobkowski
Please accept this letter as verification of insurance for the driver and vehicle listed below.
Policy and driver information
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Policy number: 61862184-0
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Policy state: California
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Policy period: Aug 12, 2013 - Feb 12, 2014……………………………………………………………………………………………………………………………………
Effective date: Aug 12, 2013……………………………………………………………………………………………………………………………………
Driver: Greg Lobkowski Named insured
Address:
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Po Box 33465
San Diego, CA 92103
Vehicle information
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Vehicle:
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Vehicle identification number:
1997 Buick Lesabre Cus4d
1G4HP52K0VH563239
Coverage information
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Bodily Injury & Property Damage: 15/30/5
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.
If you have any questions, please call Customer Service. Thank you.
Form VOI CA (03/05)