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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 Form e <br />Providing Insurance and Financial Services <br />PO Box 2366 <br />Bloomington IL 61702.2368 <br />StateFarm <br />• <br />•• <br />Attached as requested are your replacement insurance identification cards. If the attached cards are not accepted <br />by a law enforcement agency or your Department of Motor Vehicle office, please contactyour agent to receive <br />additional assistance. <br />The nk you for choosing State Farm for your insurance needs. <br />IMPORTANT - IDENTIFICATION CARDS <br />STATE FARM <br />StateFarm CALIFORNIA StateFarm <br />THIS CARD MUST BE KEPT IN THE INSURED MOTOR <br />• �, INSURANCE CARD � VEHICLE FOR PRODUCTION UPON DEMAND. <br />NUMBER 5887885-015.55A <br />I_ MAKE HONDA _. <br />HUU1 <br />Company <br />30ZA, MUTL <br />VOL <br />EFFECTIVE <br />OT 15 2024 TO APR 15 2025 <br />P2F82CA082866 <br />INC 2CCl-886 <br />5178 <br />THE MINIMUM LIABILITY LIMITS <br />IF YOU HAVE AN ACCIDENT - NOTIFY THE POLICE IMMEDIATELY <br />1. Get names, addresses, and phone numbers of persons involved and witnesses. <br />Also get driver license numbers of persona involved and license plate <br />numbers/states of vehicles. <br />2. Don't admit fault or discuss the accident wrath anyone but Stets Farm or police. <br />3. Prompt] notify your agent, log an to statetarmooma, or use the State Farm mobile <br />Spin to files olelm. <br />Far EMERGENCY ROAD SERVICE use the State Farm nmbile app,log on Is stetefarmcom or cell <br />14877AR7.5757. EXAM/NE POLICY EXCLUSIONS CAREFULLY. THIS FORMM' DOES <br />NOT CONSTITUTE ANY PART OF YOURINSURANCE POLICY. <br />How to identity your coverage. See policy for full name and definition <br />A debility H Emergency Roed Service U Uninsured Motor Vehicle <br />C Medical Poynter. L Physical Damage Ul Uninsured Motor Vehicle PO <br />D Comprehensive In Car Rental endTrevel Expenses Z Loss of Earnings <br />D Collision S Death, Dismemberment end <br />KEEP A CARD IN YOUR CAR, <br />THIS CARD IS INVALID IF THE POLICY FOR WHICH IT WAS ISSUED LAPSES OR IS TERMINATED. <br />KEEP YOUR CURRENT CARD UNTIL THE EFFECTIVE DATE OF THIS CARD. <br />ONE COPY OF THIS FORM SHOULD BE CARRIED IN THE VEHICLE AT ALL TIMES, THE FORM MAYBE NEEDED AS EVIDENCE OF INSURANCE IN COURT. <br />SUBMIT ONE CARD, OR A PHOTOCOPY OF A CARD. WITH YOUR VEHICLE REGISTRATION RENEWAL. <br />Emergency Road Service Information Is located an your insurance card. <br />IMPORTANT - IDENTIFICATION CARDS <br />STATE FARM <br />StateFarm CALIFORNIA StateFarm <br />THI <br />• 3 INSURANCE CARD . s S CARD MUST BE KEPT IN THE INSURED MOTOR <br />W VEHICLE FOR PRODUCTION UPON DEMAND. <br />Automobile Insurance Company <br />NUMBER 5687885-D15.55A <br />2 MAKE HONDA <br />THE Ih <br />HUM <br />MUTL <br />VOL <br />EFFECTIVE <br />24 TO APR 152025 <br />4082366 <br />2CC1-B86 <br />MUM LIABILITY LIMITS <br />IF YOU HAVE AN ACCIDENT - NOTIFY THE POLICE IMMEDIATELY <br />1. Got names, addresses, and phone numbers of persona involved and witnesses. <br />Also get driver license numbers of persona involved and license plate <br />numberltates of vehicle.. <br />2. Don't admit fault or discuss the accident with anyone but State Farm or police. <br />3. Promptly rich your agent, lop on to stetefarmoom®, or use the State Farm mobile <br />sop to file a c elm. <br />For EMERGENCY ROAD SERVICE use the Stale Farm mobile app. log on to stetefarmcom or cell <br />1-87PS17S757. EXAMINE POLICY EXCLUSIONS CAREFULLY. THIS FORM DOES <br />NOT CONSTITUTE ANY PART OF YOUR INSURANCE POLICY. <br />How to Identify your coverage. See policy for full name and definition <br />A babilay H Emergency Roed Service U Uninsured Motor Vehicle <br />C Medical Nymems L Physical Damage UI Uninsured Motor Vehicle PD <br />U Comprehensive al Car Rental and Travel Expenses Z Lass of Farrion, <br />G Collision S DemkOismemberment and <br />KEEP A CARD IN YOUR CAR, <br />THIS CARD IS INVALID IF THE POLICY FOR WHICH IT WAS ISSUED LAPSES OR IS TERMINATED, <br />KEEP YOUR CURRENT CARD UNTIL THE EFFECTIVE DATE OF THIS CARD. <br />ONE COPY OF THIS FORM SHOULD BE CARRIED IN THE VEHICLE AT ALL TIMES, THE FORM MAY BE NEEDED AS EVIDENCE OF INSURANCE IN COURT. <br />SUBMIT ONE CARD. OR A PHOTOCOPY OF A CARD, WITH YOUR VEHICLE REGISTRATION RENEWAL <br />._.__ __-`- ._ ----- . -- -.__ :_.."'__ _. nur_ A ones <br />
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