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MEDINA, ANTHONY (2)
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MEDINA, ANTHONY (2)
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Last modified
7/11/2025 10:48:47 AM
Creation date
7/11/2025 9:43:38 AM
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Contracts
Company Name
MEDINA, ANTHONY
Contract #
N-2025-186
Agency
City Manager's Office
Expiration Date
6/30/2026
Insurance Exp Date
12/10/2025
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StateFarm <br /> available to you and ready to heap. We have increased your farm State FarmAgent. <br /> have Bodily Injury Liability Coverage limit to S30,o00IS60,000.We o contact Y <br /> ourhave increased your Uninsured coverage limit to Your auto insurance rates are impacted by vehicle is do verl To ensure we've priced our�insurance <br /> your <br /> ��o,000rsso,aao. <br /> Notice of insurance information collection practices- coverage accurately based on the number of miles you <br /> personal,family, or household insurance transact�Oenrs: drive,e e through a third part we tried to obtain y provide�.lWermation for were unable to <br /> We may collect customer information from persons og e w an average <br /> than the individual or individuals applying for coverage. obtain odometer readings and have applied g <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, <br /> 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 statement with us containing the information you feel is transfer, funds may be withdrawn from your account as soon 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 1FADP3K25EL210145 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 /> 200413MV11 5301 <br /> 1997 SATURN SATURN <br /> 2015 BM 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 />
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