COI - Tim Collins of Personal Impressions Paint Company - Expires 2022-04-27DocuSign Envelope ID: C0029EAC-DB8C-45B1-A5E5-24838C4D26A3
DocuSign Envelope ID: C0029EAC-DB8C-45B1-A5E5-24838C4D26A3
DocuSign Envelope ID: C0029EAC-DB8C-45B1-A5E5-24838C4D26A3
DocuSign Envelope ID: C0029EAC-DB8C-45B1-A5E5-24838C4D26A3
DocuSign Envelope ID: C0029EAC-DB8C-45B1-A5E5-24838C4D26A3
DocuSign Envelope ID: C0029EAC-DB8C-45B1-A5E5-24838C4D26A3
DocuSign Envelope ID: C0029EAC-DB8C-45B1-A5E5-24838C4D26A3
DocuSign Envelope ID: C0029EAC-DB8C-45B1-A5E5-24838C4D26A3
DocuSign Envelope ID: C0029EAC-DB8C-45B1-A5E5-24838C4D26A3
Form_SCTNID_CTGRY.XX10025241_OTHER
<docindex><index>OTHER</index></docindex>
Policy number:02156732-2
Underwritten by:
PROGRESSIVE EXPRESS INS
Page of1 1
May 26, 2021
Progressive
P.O. Box 94739
Cleveland, OH 44101
1-800-895-2886
Certificate of Insurance
Certificate Holder……………………………………………………………………………………………………………………………………………………………………………
TIMOTHY COLLINS
331 EL CERRITO WAY
GILROY, CA 95020
Insured Agent/Surplus Lines Broker ……………………………………………………………………………………………………………………………………………………………………………TIMOTHY COLLINS
PERSONAL IMRESSIONS PAINT
331 EL CERRITO WAY
GILROY, CA 95020
PROG COMMERCIAL
PO BOX 94739
CLEVELAND, OH 44101
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, exclusions, limitations, endorsements, and
conditions of these policies.
Policy Effective Date:Policy Expiration Date:
………………………………………………………………………………………………………………………………………………………..
Nov 21, 2021May 21, 2021
Insurance coverage(s)Limits………………………………………………………………………………………………………………………………………………………..BODILY INJURY/PROPERTY DAMAGE $1,000,000 COMBINED SINGLE LIMIT………………………………………………………………………………………………………………………………………………………..EMPLOYER'S NON-OWNED AUTO BIPD $1,000,000 COMBINED SINGLE LIMIT
Description of Location/Vehicles/Special Items
Scheduled autos only………………………………………………………………………………………………………………………………………………………..
2013 FORD 1FTMF1CM2DFC43008F150
COMPREHENSIVE $500 DED
COLLISION $500 DED………………………………………………………………………………………………………………………………………………………..
2005 CHEVROLET 1GBHC29U65E228014SILVERADO C2500
Certificate number
14621NET732
Form 5241 (10/02)
DocuSign Envelope ID: C0029EAC-DB8C-45B1-A5E5-24838C4D26A3