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California Insurance Card T 5 L n I INSURANCE <br /> Policy Number - TLA-CA-A-T-8GHCN31J4 Underwritten by: <br /> Effective Date Expiration Date State National Insurance Compary, Inc <br /> 09/12611C25 12:01 A M C3iC6/202rc 12-C1 A M NAIC = 12831 <br /> 19CC L. Dor Dodson Dr.. Bedford, 7X 76021 <br /> Toll-Free Phone Number 1-844-34-TESLA <br /> Named Insured Year,Make,Model and VIM <br /> raul martinez 2C22 Testa Model 3 <br /> 2C5 S MYRTLEWOOD ST 5Y43EtEBi3NF196386 <br /> WEST COVINA CA 91791 <br /> Drivers: <br /> raol martinez <br /> Examire policy exclusions carefully This form does,not Warning -the following Drivers are excluded from the policy: <br /> constrtute any part of yotir orsurarce policy <br /> Canra2e Frovided by the Policy Meets the Mirimum Liability Limats Prescribed by Law <br /> APPROVED <br /> By Tu Tran Nguyen at 7:52 am,Sep 10,2025 <br /> Tu Tran °u9T�a`nNg signed <br /> n6y <br /> Nguyen Date.11-0�o0° <br />