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Form_SCTNID_CTGRY.XX0108ACORD101_ACORD <br /><docindex><index>ACORD</index></docindex> BDF_PCA <br />Progressive Insurance <br />871795411 <br />Progressive Express Insurance Company 10193 <br />Vincent Clear DBA: Clear Em Out Pest Control <br />278 Dovewood Dr <br />Manteca, CA 95336 <br />03/27/2026 <br />AGENCY CUSTOMER ID: <br />LOC #: <br />ADDITIONAL REMARKS SCHEDULE Page of <br />AGENCY <br />POLICY NUMBER <br />CARRIER NAIC CODE <br />NAMED INSURED <br />EFFECTIVE DATE: <br />ADDITIONAL REMARKS <br />THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, <br />FORM NUMBER:25 FORM TITLE:Certificate of Liability Insurance <br />1 1 <br />Additional Coverages <br />Insurance coverage(s) Limits…………………………………………………………………………………………………………………………………………………………………………………… <br />Uninsured/Underinsured Motorist $1,000,000 Combined Single Limit <br />Description of Location/Vehicles/Special Items <br />Scheduled autos only…………………………………………………………………………………………………………………………………………………………………………………… <br />Stated Amount <br />2026 CHEVROLET SILVERADO 1GC10ZED7TU403667 <br />$73,000 <br />Comprehensive $500 Ded <br />Collision $500 Ded <br />ACORD 101 (2008/01) <br />The ACORD name and logo are registered marks of ACORD <br />© 2008 ACORD CORPORATION. All rights reserved. <br />Docusign Envelope ID: 12D38450-126F-85C2-806D-B77CACC97D2B