By signing this document, I agree that all the statements below are to the best of my knowledge true, and that such information is accurate, unless and until I provide an update of the same. I affirm that my Motor Vehicle Driving Record and Auto Liability Insurance meet or exceed the minimum requirements set form below.

- I understand that while driving my vehicle on behalf of the Diocese of Toledo, its parishes, schools, or affliated institutions, my insurace will be primary for any accident or injury that I may be involved in. The Diocese of Toledo will bot provide me with any medical payments and/or un/underinsured motorist's coverage. The Diocese of Toledo does not provide comprehensive and collision coverage on my vehicle.

- I affirm that I am 21 years of age or older and that my driver's license is valid in the state where it is issued, and I have no more than one (1) minor moving violation or one (1) minor accident in the last three (3) years from the date of signing this Agreement.

- I affirm that my auto liability insurance is valid and in force, and that I carry limits of at least $100,000 for property damage; $5,000 for medical payments; and $100,000 per person and $300,000 per accident for un/underinsured motorists coverage at the time of signing this Agreement.

- I affirm that I have never been convicted of any criminal offense involving harm or injury to a minor.