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Certificate of Insurance: Description of Location/Vehicles/Special Items

This document is a certificate of insurance for Damion Bramwell of Lawrenceville, GA. It provides liability coverage of $25,000 per person/$50,000 per accident/$25,000 for property damage for a 2012 International T26 vehicle. The policy is issued by Progressive Mountain Insurance Co and is effective from January 22, 2017 to July 22, 2017. The certificate does not amend or alter the coverage under the referenced insurance policies.

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0% found this document useful (0 votes)
201 views1 page

Certificate of Insurance: Description of Location/Vehicles/Special Items

This document is a certificate of insurance for Damion Bramwell of Lawrenceville, GA. It provides liability coverage of $25,000 per person/$50,000 per accident/$25,000 for property damage for a 2012 International T26 vehicle. The policy is issued by Progressive Mountain Insurance Co and is effective from January 22, 2017 to July 22, 2017. The certificate does not amend or alter the coverage under the referenced insurance policies.

Uploaded by

Jack Robinson
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Form_SCTNID_CTGRY.

GA03115241_OTHER

<docindex><index>OTHER</index></docindex>

Progressive
PO Box 94903
Cleveland, OH 44101
1-800-444-4487
Policy number: 02819171-2
Underwritten by:
Progressive Mountain Insurance Co
June 9, 2017
Page 1 of 1

Certificate of Insurance
Certificate Holder Insured Agent
……………………………………………………………………………………………………………………………………………………………………………
DAMION BRAMWELL DAMION BRAMWELL INS ANSWER CTR LLC
999 TREYMONT WAY 999 TREYMONT WAY 15910 VENTURA BLVD#6
LAWRENCEVILLE, GA 30045 LAWRENCEVILLE, GA 30045 ENCINO, CA 91436

This document is issued as a matter of information only and confers no rights upon the document holder.
This document does not amend, extend, or alter the coverage, terms, exclusions, conditions, or other
provisions afforded by the policies referenced herein.
………………………………………………………………………………………………………………………………………………………..
Policy Effective Date: Jan 22, 2017 Policy Expiration Date: Jul 22, 2017
Insurance coverage(s) Limits
………………………………………………………………………………………………………………………………………………………..
Bodily Injury/Property Damage $25,000/$50,000/$25,000

Description of Location/Vehicles/Special Items


Scheduled autos only
………………………………………………………………………………………………………………………………………………………..
2012 INTERNATIONAL T26 4DRASAAN6CJ599608
Certificate number
16017A10171

Form 5241 GA (03/11)

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