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Last modified
5/19/2022 8:53:34 AM
Creation date
5/19/2022 8:52:45 AM
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Contracts
Company Name
BRIAN PETERSON
Contract #
N-2021-167A
Agency
Community Development
Expiration Date
6/30/2022
Insurance Exp Date
10/30/2022
Destruction Year
2027
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PDA <br />State Farm e <br />Providing Insurance and Financial Services <br />PO Box 853919 <br />Richardson, TX 75085.1919 <br />StateFarm <br />A. <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 />Thank you for choosing State Farm for your insurance needs. <br />-----------------------------------------�ect <br />StateFarm <br />• <br />••n <br />BRIAN A <br />IMPORTANT - IDENTIFICATION CARDS <br />STATE FARM <br />CALIFORNIA StateFarm <br />THIS CARD MUST BE KEPT IN THE INSURED MOTOR <br />INSURANCE CARD VEHICLE FOR PRODUCTION UPON DEMAND. <br />NUMBER 4667259•DO2-75C <br />S MAKE TOYOTA <br />TACOMA VIN 31 <br />R TAY INS AND P N SVCS IN <br />ry <br />IF YOU HAVE AN ACCIDENT • NOTIFY THE POLICE IMMEDIATELY <br />1. Get name, addressee, and phone numbers of persona immNed and wtneeeae. <br />MUTL <br />Also get driver license numbee of persons imobed and license plate <br />VOL <br />numbers/statas of vehida. <br />2. Don't atlmA result or discuss the accident wAh anyone but State Farm or pulse. <br />3. Promptly notify your agent log on to statefarm.come, or use the Slate Farm mobile <br />WP to file a claim. <br />For EMERGENCY ROAD SERVICE use the Slale Tons motile epp, lag an 1. deal ermcamor cdl <br />EFFECTIVE <br />14P£27475I. EXAMINE POLICY EXCLUSIONS CARER/LLY. THIS FORM DOES <br />121 TO OCT 022021 <br />NOT CONSTITUTE ANY PART OF YOUR INSURANCE PoUCY- <br />M048947 <br />How to Identify your coverage. See policy for full name and definition <br />8018•ACt <br />A Debildy H Emergency Road Service U Unbmurad Mamr Vehicle <br />MUM LIABILITY UNITS <br />C Medical Payments L Physical Damage Ut Uninsured Molar Vehicle PO <br />D Comprehensive Ri Car BemalanlTravel Eamerr Z Wasof Famings <br />6 Collision S Dmth.Dwemberneemand <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 FORA 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 Se was intormetla is loomed a your Insurance and. <br />— — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — —j <br />IMPORTANT - IDENTIFICATION CARDS <br />STATE FARM <br />StateFarm StateFarm <br />CALIFORNIA THIS CARD MUST BE KEPT IN THE INSURED MOTOR <br />® INSURANCE CARD A. VEHICLE FOR PRODUCTION UPON DEMAND. <br />Farm Mutual Automobile Insurance Company <br />PETERSON, VANESSA LUCIA A MUTL <br />BRUIN A VOL <br />ICYNUMBER 4667259•DO2.75C EFFECTIVE <br />2018 MAKE TOYOTA APR 022021 TO OCT 022021 <br />IEL TACOMA VIN 3TMDZ5BN9dMO48947 <br />NIT R TAY INS AND RN SVCS INC 3018•AC7 <br />IF YOU HAVE AN ACCIDENT • NOTIFY THE POLICE IMMEDIATELY <br />1. Gat names, addressee, and phone ambers of persona imoNed and aitnewom. <br />Also gat driver !cane numbers of persona Imolved and license plate <br />numbereletata of whiclee. <br />2. Dont arms fault or discuss the accident win emyone but Slate Farm or police. <br />3. Prompt really your agent log on to etatefazm.come, or use the State Fans mobile <br />epp to file a claim. <br />For EMERGENCY ROM SERMCE use IM1e Seat Farm mobile app.lagan lonelelermcamoreell <br />14774274757. EXAMINE POLICYEXCLUSIONS CAREFULLY. THIS FORM ODES <br />NOT CONS77TUTE ANY PART OF YOUR INSURANCE POLICY. <br />How to identity your coverage. See policy for full name antl deimmon <br />f9491559-8886 NAIC 25178 A Dooley H Fnuo"ar, yRned Seruce <br />GE PROVIDED BY THE POLICY MEETS THE MINIMUM LIABILITY UNITS J C Medical Paymeme L Physics! Damage <br />BED BY LAW. D Camprehanow R1 Car Hemel and Travel Datum .=ey RbRM.%"wiDMd. <br />GES A m ODD GIM H U UI G Caliision S Oean4 Dismembermcm and Rewad EOAAp Br, <br />Loa of Sl y�' <br />KEEP A CARD IN YOUR CAR. 70Te P&14der <br />THIS CARD IS INVALID IF THE POLICY FOR WHICH IT WAS ISSUED LAPSES OR IS TERMINATE[ ai:eM,ag�„�.u,>:vlwde <br />KEEP YOUR CURRENT CARD UNTIL THE EFFECTIVE DATE OF THIS <br />ONE COPY OF TMS FORM SHOULD BE CARRIED IN ME VEHICLE AT ALL RME9. THE FORA MAYBE NEEDED AS EVIDENCE OF INSURANCE IN COURT. <br />SUBMIT ONE CARD, OR A PHOTOCOPY OF A CARD, WITH YOUR VEHICLE REGISTRATION RENEWAL <br />143295.3 (01 ecatd) 01-15.2018 Emer,mW Road Service informal is Ioated a your nneuranoe card. FEB 24 g1121 <br />
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