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MEDINA, ANTHONY
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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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www.statefarm.com/customer-care/privacy-securlty/privacy <br />or contact your State Farm Agent. ' <br />When you provide a check as payment, you authorize us <br />either to use information from your check to make a <br />one-time electronic fund transfer from your account or to <br />process the payment as a check transaction. When we use <br />VEHtCLE INFORMATION <br />A State Farm· <br />information from your check to make an electronic fund <br />transfer, funds may be withdrawn from your account as soon <br />as the same day we receil/e your payment, and you will not <br />receive your check back from your financial institution. <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 Description <br />Vehicle Identification <br />Number (VIN) Who princlpal!Y drives this vehicle? How is this vehicle normally used? <br />2014 FORD FOCUS 1FADP3K25EL210148 ANTHONY MEDINA, a sin~le individual, To Work, School or Pleasure. <br />~o will have 9 years of driving experience <br />as of December 10, 2024. <br />Other Household Vehlcle(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 SA TURN <br />2016 BMW 4281 <br />2013 DODGE CHALLENGER <br />The premium on the expiring policy term was based on <br />4,000 miles per year. <br />The premium on the renewal policy term was based on <br />4,000 miles per year. <br />Premium Adjustment <br />Each year, we review our medical payments and personal <br />injury protection coverages claim experience to determine <br />the vehicle safety discount that is applied to each make and <br />DRIVER INFORMATION <br />Assigned Orlver(s) <br />The following driver{s) are assigned to the vehicle(s) on this policy. <br />Name <br />ANTHONY MEDINA <br />Policy Number: 737 4537-F10-75B <br />Prepared October 18, 2024 <br />Driving Experience as of <br />December 10, 2024 <br />9 years <br />model. In addition, we review the comprehensive, collision, <br />bodily injury and property damage claim experience <br />annually to determine which makes and models have <br />earned decreases or increases from State Farm's standard <br />ra!es. If any changes result from our reviews, adjustments <br />are reflected in the rates shown on this renewal notice. <br />Marital <br />Status <br />Single <br />Page number 2 of 5
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