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Progressive <br />P 0. Boy. 94739 <br />Clevefand, OH 44101 <br />1.800.895.2886 <br />Certificate of Insurance <br />PR99RFr11YF' <br />COMM£RC/AC <br />Policy number; 03374807-1 <br />Underantren by. <br />Progressive Express Ins <br />December 21, 2021 <br />Page I o1 2 <br />Certificate Holder <br />..... ................ .................... ................. .._..........._._....................... .._.,................. I ............. ...._............. . ....... ..... ........... ........ <br />SUPERIOR ARC VVELDING INC <br />7923 OLD OAK CT <br />RIVERSIDE. CA 92506 <br />Insured <br />..............................._.............................................. <br />... ...... . ...... ... .. ... .... .. AgenVSurplus Lines &oker <br />. ......_........................................... <br />SUPERIOR ARC 1rJELDIFIG INC <br />PROG COMtv1ERCIAL <br />E <br />7923 OLD OAK CT <br />PO BOX 94739 <br />RIVERSIDE, CA 92506 <br />CLEVELAND, ON 44101 <br />This document certifies that insurance policies identified below have been issued by the designated insurer to the insured <br />named above for the period(s) indicated. This Certificate is issued for information purposes only, It confers no rights upon <br />the certificate holder and does not change, alter, modify, or extend the coverages afforded by the policies listed below. <br />The coverages afforded by the policies listed below ate subject to all the terms, eadusions, limitations, endorsements, and <br />conditions of these policies. <br />Policy Effective Date: Sep 1"2021 Policy Expiration Date: Mar 17, 2022 <br />Insurance coverage(s) Llmds <br />D. ...............................a.....age ..... <br />$1 0_.......00,..0.00.._.Combi.ne <br />.in.lb..d._.S....ingle........._......_._............ <br />.... <br />.... <br />.... <br />................ <br />..... <br />. <br />bodily Injury;Properry mLimi[ <br />..............................................................................................................i'm"it.............. <br />...... <br />............................ <br />... '"- <br />UninsuredNnderinsuredAfatodst $1,000,OOOCombinedSingleLimit <br />Description of Location/Vehicles/Special Items <br />Scheduled autos only <br />............................................................................................................................................................................. <br />200� FORD F450 SUPER DUTY IFDXF46P24ED99278 <br />Stated Amount $37,000 <br />Comprehensive <br />$250 Bed <br />Collision <br />............................................................................................................................................................................. <br />$250 w/A-Vaiver Ded <br />2011 FOP,D FSSO SUPEP, DUTf 1FD0�5HYXBEB91513 <br />Stated Amount $53,000 <br />Comprehensive <br />$250 Ded <br />Collision <br />............................................................................................................................................................................. <br />$250 v.(Naiver Ded <br />2019 DODGE RAh15500 3C7riyRNFlBKG521547 <br />Stated Amount $65,000 <br />Comprehensive <br />$250 Ded <br />Collision <br />$250 wffliaiver Ded <br />RMvwgMatt iol'Wore <br />��orie REVIEwED&Aetkrnr®By: <br />® Huk Management Analyst <br />