My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
MEDINA, ANTHONY
Clerk
>
Contracts / Agreements
>
M
>
MEDINA, ANTHONY
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
5/29/2025 9:51:55 AM
Creation date
8/27/2024 12:24:48 PM
Metadata
Fields
Template:
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
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
20
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
^StateFarm <br /> available to you and ready to help. We have increased your www.statefarm,com/customer-carelprivacy-security/privacy <br /> Bodily Injury Liability Coverage limit to$30,000/$60,000. We or contact your State Farm Agent. <br /> have increased your Uninsured coverage limit to Your auto insurance rates are impacted by the mileage your <br /> $30,000/$60,000. vehicle is driven.To ensure we've priced our insurance <br /> Notice of insurance information collection practices- coverage accurately based on the number of miles you <br /> personal,family, or household insurance transactions: drive,we tried to obtain valid mileage information for this <br /> We may collect customer information from persons other vehicle through a third party provider. We were unable to <br /> than the individual or individuals applying for coverage, obtain odometer readings and have applied an average <br /> Such customer information as well as other personal or annual mileage using information from a third party provider <br /> privileged information subsequently collected may, in certain and some of your vehicle and policy characteristics. Please <br /> circumstances, be disclosed to third parties without your contact your State Farm agent with questions. <br /> authorization as permitted by law. When you provide a check as payment,you authorize us <br /> You have the right to submit a written request to access, either to use information from your check to make a <br /> correct, amend, or delete your personal information and the one-time electronic fund transfer from your account or to <br /> right to receive a response within 30 days of submitting your process the payment as a check transaction. When we use <br /> request. If we deny your request,you have the right to file a information from your check to make an electronic fund <br /> statement with us containing the information you feel is transfer, funds may be withdrawn from your account as soon <br /> accurate and fair along with the reasons you disagree with as the same day we receive your payment, and you will not <br /> our denial. Instructions on how to file such request and our receive your check back from your financial institution. <br /> full privacy notice can be found <br /> VEHICLE INFORMATION <br /> Review your policy information carefully. If anything is incorrect, or if there are any changes to your vehicle information, please <br /> let us know right away. <br /> Vehicle Identification <br /> Vehicle Description Number(VIN) Who principally drives this vehicle? How is this vehicle normally used? <br /> 2014 FORD FOCUS 1 FADP3K25EL210148 ANTHONY MEDINA,a single individual, To Work,School or Pleasure. <br /> who will have 10 years of driving <br /> experience as of June 10,2025. <br /> Other Household Vehicle(s) <br /> Your premium may be influenced by other State Farm <br /> Policies that currently insure the following vehicle(s) <br /> in your household: <br /> 2002 FORD F150 <br /> 2015 HONDA ACCORD <br /> 2004 BMW 5301 <br /> 1997 SATURN SATURN <br /> 2016 BMW 4281 <br /> 2013 DODGE CHALLENGER <br /> 2014 FORD FIESTA <br /> The premium on the expiring policy term was based on Premium Adjustment <br /> 4,000 miles per year. Each year,we review our medical payments and personal <br /> The premium on the renewal policy term was based on injury protection coverages claim experience to determine <br /> 10,000 miles per year. the vehicle safety discount that is applied to each make and <br /> model. In addition, we review the comprehensive, collision, <br /> bodily injury and property damage claim experience <br /> (continued on next page) <br /> Policy Number:737 4537-F10-75B Page number 2 of 5 <br /> Prepared April 18,2025 <br />
The URL can be used to link to this page
Your browser does not support the video tag.