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ARDENT ERGONOMICS (MELGOZA, JORGE)
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ARDENT ERGONOMICS (MELGOZA, JORGE)
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Last modified
4/17/2025 11:16:21 AM
Creation date
3/7/2025 10:01:50 AM
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Contracts
Company Name
ARDENT ERGONOMICS (MELGOZA, JORGE)
Contract #
N-2025-049
Agency
Human Resources
Expiration Date
2/18/2027
Insurance Exp Date
10/15/2025
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State Farm <br />Other Available Discount(s) <br />You may be eligible for additional discounts <br />See the enclosed insert for more information. <br />Mature Driver <br />SURCHARGES AND DISCOUNTS <br />Driving Safety Record Rating Plan <br />Your driving safety record, along with other rating factors, <br />determines what you pay for Liability, Medical Payments, <br />Comprehensive, Collision, and Uninsured Motor Vehicle <br />Coverages. Policyholders with no accidents and convictions <br />pay less than those with accidents and convictions. <br />The Driving Safety Record Rate Level that is assigned to <br />your policy moves up, down, or stays the same every policy <br />renewal, depending upon your driving record. For every 12 <br />months since the renewal following the occurrence of a <br />chargeable accident or the conviction of a minor violation, <br />the initial assigned Driver Record Level for that chargeable <br />accident or conviction shall be lowered by 1 level. For each <br />12 month period since the conviction of a major violation, <br />the initial assigned Driver Record Level for that conviction <br />shall be lowered by 2 levels. The Rate Level is increased if <br />there are subsequent chargeable accidents or convictions. <br />Definition of Chargeable Accidents <br />Chargeable accidents for new business are those which <br />resulted in bodily injury or death or in payment(s) by an <br />insurer due to damage to any property in the amount of <br />ADDITIONAL INFORMATION <br />IMPORTANT NOTICE <br />For your protection California law requires the <br />following to appear with this policy: Any person who <br />knowingly presents false or fraudulent information to <br />obtain or amend insurance coverage or to make a claim <br />for the payment of a loss is guilty of a crime and may be <br />subject to fines and confinement in state prison. <br />more than $1000. For accidents occurring prior to <br />December 11, 2011, an accident shall be chargeable <br />provided it resulted in death or in payment(s) by an insurer <br />due to damage to any property in the amount of more than <br />$750. <br />For applicants without prior insurance at the time of the <br />accident, an accident shall be chargeable provided it <br />resulted in damage to any property in the amount of more <br />than $1000 (more than $750 if the accident occurred prior to <br />December 11, 2011). <br />Chargeable accidents for renewal business are those which <br />resulted in bodily injury or death or State Farm claim <br />payments totaling more than $1000 (more than $750 for <br />accidents occurring prior to December 11, 2011) under <br />property damage liability coverage and collision coverage <br />combined. <br />For more information about the rating plan, please contact <br />your State Farm agent. <br />Superior Driver Rate Level <br />If any information on this renewal notice is incomplete or <br />inaccurate, or if you want to confirm the information we have <br />in our records, please contact your agent. For additional <br />information regarding discounts or coverages, see your <br />State Farm agent or visit statefarm.com®. <br />Important Notice Regarding Your Premium <br />State Farm works hard to offer you the best combination of price, service, and protection. The amount you pay for automobile <br />insurance is determined by many factors including: <br />• The coverage you have <br />• Where you live <br />• The kind of car you drive <br />• How the car is used <br />• Who drives the car <br />Any premium adjustment is reflected on this Auto Renewal. If you have any questions, please contact your agent. <br />(continued on next page) <br />Policy Number: 583 7885-D15-55A Page number 4 of 5 <br />Prepared August 23, 2024 <br />
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