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MEDINA, ANTHONY
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Last modified
5/29/2025 9:51:55 AM
Creation date
8/27/2024 12:24:48 PM
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Contracts
Company Name
MEDINA, ANTHONY
Contract #
N-2024-292
Agency
City Manager's Office
Expiration Date
6/30/2025
Insurance Exp Date
12/10/2025
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u <br /> State Farm Mutual Automobile Insurance Company <br /> PO Box 2358 A StateFarm" <br /> Bloomington IL 61702-2358 <br /> AT2 038363 0009 A-8761 A <br /> MEDINA, ANTHONY <br /> 2329 SIEMON ST AUTO RENEWAL <br /> SANTA ANA CA 92706-1345 _ <br /> PREMIUM PAID: $696.45 <br /> DO NOT PAY. <br /> 11 r I I I r l l 11111111111111111111111111111111111"I I"I1111111111111 Your premium is billed through the State Farm Payment Plan <br /> Fy State Farm Payment Plan Number: 1368602323 <br /> �o <br /> Your State Farm Agent <br /> PEGGY BATES <br /> Policy Number: 737 4537-F10-756 Office: 714-543-0422 <br /> Policy Period: June 10, 2025 to December 10, 2025 Address: 2723 N BRISTOL ST STE D1 <br /> Vehicle: SANTA ANA, CA 92706-1419 <br /> 2014 FORD FOCUS ffyou have a new or different car,have added any drivers,or have moved, <br /> please contact your agent. <br /> Principal Driver: <br /> ANTHONY MEDINA Thank you for choosing State Farm. <br /> A new California law increases minimum limits for Liability Thank you for choosing State Farm for your auto insurance. <br /> Coverage and Uninsured Motor Vehicle Coverage: You are important to us, and we value your business. Your <br /> • For Liability Coverage, the minimum will be $30,000 policy currently has Liability Coverage and/or Uninsured <br /> per person and$60,000 per accident for bodily injury, Motor Vehicle Coverage with limits below the new state <br /> and$15,000 per accident for property damage. minimum. Effective with this renewal your limits will be <br /> raised to meet the new state minimums. We will mail you <br /> • For Uninsured Motor Vehicle Coverage, the minimum your updated Declarations Page with the your <br /> will be$30,000 per person and$60,000 per accident coverage(s) and your premium will reflect the added <br /> for bodily injury. protection. If you need a hand,your State Farm agent is <br /> (continued on next page) <br /> Policy Number:737 4537-F10-75B APPROVED Page number 1 of 5 <br /> Prepared April 18,2025 By Tu Tran Nguyen at 8:26 am,May 29, 2025 <br /> 1004583 143562 202 01-15-2018 <br /> Digitally signed by <br /> Tu Tran <br /> Tu Tran Nguyen <br /> 5.05.29 <br /> Nguyen Date:54-07'00' <br /> 0827:s4-07'00' <br /> Thanks for being part <br /> -s of our neighborhood. <br /> rr - <br /> You mean a lot to us. If you need anything, <br /> call State Farm° Agent PEGGY BATES at <br /> - - 714-543-0422. <br /> TP31 <br /> 107144 <br />
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