My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
BRIAN PETERSON (2)
Clerk
>
Contracts / Agreements
>
B
>
BRIAN PETERSON (2)
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
1/6/2022 3:15:59 PM
Creation date
1/6/2022 3:15:04 PM
Metadata
Fields
Template:
Contracts
Company Name
BRIAN PETERSON
Contract #
N-2021-167-01
Agency
Community Development
Expiration Date
6/30/2022
Insurance Exp Date
10/30/2022
Destruction Year
2027
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
10
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
PCA <br />State Fe cm S <br />Providing Insurance and Financial Services <br />PO Bo: 95MS <br />Richardson, TIT 75095.5919 <br />StateFarm <br />db <br />••„ <br />Attached as requested are your replacement insurance identification cards. If the attached cards are not accepted <br />by a law enforcement agency or your Department of Motor Vehicle office, please contact your agent to receive <br />additional assistance. <br />Thankyou for choosing State Farm foryour insurance needs, <br />------------------------------------------ <br />IMPORTANT - IDENTIFICATION CARDS <br />STATEFARM <br />StateFarm IN& <br />arm <br />CALIFORNIA THIS CARD MUST BE KEPT IN THE INSURED MOTOR <br />� 4� o INSURANCE CARD VEHICLE FOR PRODUCTION UPON DEMAND. <br />Farm Mutual Automobile Insumma s Company <br />PETERSON, VANESSA LUCIA A MUTL <br />BRIAN A VOL <br />NUMBER 4667259-1302.75C EFFECTIVE <br />S MAKE TOYOTA APR 022021 TO OCT 022021 <br />TACOMA VIN 3TMDZ5BNSJMG98947 <br />R TAY INS AND RN SVCS INC 8018-AC7 <br />Of9497559.8866 NAIC 25178 <br />BYVIDE SY THE POLICY MEETS THE MINIMUM UABIUTY UNITS <br />3ED:ES A DID00 G7000 H U U1 <br />IF YOU HAVE AN ACCIDENT - NOTIFY THE POLICE IMMEDIATELY <br />1. Get names, addressee, and phcm numbers of persons involvetl and wilneeeec. <br />Also gat driver license numbers of persona Involved and loans plate <br />numbers/states of vehicles. <br />2. Don't admit result or discuss the accident with mryane but State Form or police. <br />3. Promptlyy nobly your agent, log on to etaterannomnS, a use the State Farm mobile <br />opp to Igo a clam. <br />Far EMERGENCY ROAD SERVICE.., hr ts Femmabile opp.lop on la oterelennwom or doll <br />14774 740S7. EXAMINE POLICY=UMONS CAREFULLY. THIS FORM ODES <br />NOT CONSTITUTE ANY PART OF YOUR INSURANCE POLICY <br />How to Identify your coverage. See policy for full name and delni0on <br />A Usbitty N Rnagency Rued Service U Urcwured Motor Vehicle <br />C Medkel PaymeasL Physical Barrage Ul Unhsumd Mom Vehicle PU <br />B Campreheneive RI Car Rentd end Travel Fnpemes Z Lass of Fim ags <br />G Collision S Desth.0ismemhmmentsM <br />KEEP A CARD IN YOUR CAR. <br />THIS CARD IS INVALID IF THE POLICY FOR WHICH IT WAS ISSUED LAPSES OR IS TERMINATED. <br />KEEP YOUR CURRENT CARD UNTIL THE EFFECTIVE DATE OF THIS CARD. <br />ONE COPY OF THIS FORM SHOULD BE CARRIED IN THE VEHICLE AT ALL TIMES. THE FORM MAY BE NEEDED AS EVIDENCE OF INSURANCE IN COURT. <br />SUBMIT ONE CARD, OR A PHOTOCOPY OF A CARD, WITH YOUR VEHICLE REGISTRATION RENEWAL <br />Emergency Road Service Information Is located on your insurance card. <br />— — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — <br />IMPORTANT - IDENTIFICATION CARDS <br />STATE FARM <br />StateFarm S12. <br />m <br />CALIFORNIA THIS CARD MUST BE KEPT IN THE INSURED MOTOR <br />INSURANCE CARD VEHICLE FOR PRODUCTION UPON DEMAND. <br />• <br />Mutual Automobile Insurance Company <br />MUTL <br />VOL <br />NUMBER 4667259-002.75C EFFECTIVE <br />9 MAKE TOYOTA APR 022021 TO OCT 022021 <br />TACOMA VIN STMDZSBNSJM043947 <br />R TAY INS AND RN SVCS INC 3018-AC7 <br />(949_j559.8866 NAIC 25178 A Deblly, H Emergency Rood Service <br />P VIDED BY THE POLICY MEETS THE MINIMUM UABIUTY LIMITS C Medical Payments L Phyanl DemeGe <br />BED BY LAW. 0 Comprehensive RI Cm rental and Travel Espem RLb Mmsgmnd Dlz; <br />,.ES A DI G1000 X U U1 fi Cartel. S Deah,Oumembement end ITEVIE 6 APPpw® Or. <br />.ofS <br />KEEP A CARD IN YOUR CAR. �Ou Pr`RJO" <br />THIS CARD IS INVALID IF THE POLICY FOR WHICH IT WAS ISSUED LAPSES OR IS TERMINATE[ map Mang—ra—lAde <br />KEEP YOUR CURRENT CARD UNTIL THE EFFECTIVE DATE OF THIS <br />ONE COPY OF THIS FORM SHOULD BE CARRIED IN THE VEHICLE AT ALL TIMES THE FORM MAY BE NEEDED AS EVIDENCE OF INSURANCE IN COURT. <br />SUBMIT ONE CARD, OR PHOTOCOPY OF A CARD, WITH YOUR VEHICLE REGISTRATION RENEWAL <br />FEE 24 W21 <br />If YOU HAVE AN ACCIDENT - NOTIFY THE POLICE IMMEDIATELY <br />1. Get names, ad* esass. end pham mumbers of pemom involved and wilneeees. <br />Also gat driver loans numbers of persona Immhred and Lcehes plate <br />numbers/elates or vehicle,. <br />2. Don1 admit rmlR a discuss the accident vdth anyone but State Farm at patch. <br />3. Franptly holy your soon, log on to statdam.cam9, a use the Side Farm mobile <br />Opp to bole a clam. <br />For EMERGENCY ROAD SERVICE use that Nee Bra mobile opp,loF onadatdemoom ar snit <br />14-51 7742757. EXAMINE POLICYEXCLUSIONS CAREFULLY 7?US FORM DOES <br />NOTCONSRTUTE ANY PART OF YOUR INSURANCE POLICY. <br />How to identity your coverage. See policy for hull name and definition <br />143295.3 (a1 eocald) 01-15-2018 Emergen v Road Service infamehoa I. located on Your rmursnz card. <br />
The URL can be used to link to this page
Your browser does not support the video tag.