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PCA Stare FBI[me StateFarm Providing Insurance and Financial Services • PO Box 2358 Bloomington IL 61702.2358 Attached as requested are your replacement insurance identification cards. If the attached cards are not accepted by a law enforcement agency or your Department of Motor Vehicle office, please contact your agent to receive additional assistance. Thank you for choosing State Farm for your insurance needs. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - IMPORTANT- IDENTIFICATION CARDS STATE FARM StateFarm StateFarm CALIFORNIA THIS CARD MUST BE KEPT IN THE INSURED MOTOR ••® VEHICLE FOR PRODUCTION UPON DEMAND. INSURANCE CARD • ® State Farm Mutual Automobile Insurance Company IF YOU HAVE AN ACCIDENT-NOTIFY THE POLICE IMMEDIATELY PO Box 2358 Bloomington IL 61702.2358 1.Get names,addresses,and phone numbers of persons involved and witnesses. INSURED MEDINA,ANTHONY MUTL Also get driver license numbers of persons involved and license plate VOL numbers/states of vehicles. 2.Don't admit fault or discuss the accident with anyone but State Farm or police. 3.Promptly notify your agent,log on to statefarm.com@,or use the State Farm mobile app to file a claim. For EMERGENCY ROAD SERVICE use the State Farm mobile app,log on to statefarmcom,or call POLICY NUMBER 7374537-FIO.75C EFFECTIVE 1-877-627-5757.EX.4MINE POLICY EXCLUSIONS CAREFULLY.T7i/SFORMDOES YR 2014 MAKE FORD DEC 102025 TO JUN102026 NOT CONS77TUTE ANY PART OF YOUR INSURANCE POLICY. MODEL FOCUS VIN 1 FADP3K25EL210148 How to identify your coverage.See policy for full name and definition AGENT PEGGY BATES 8761-B8A PHONE (714)543.0422 NAIC 25178 A Liability H Emergency Road Service U Uninsured Motor Vehicle COVERAGE PROVIDED BY THE POLICY MEETS THE MINIMUM LIABILITY OMITS C Medical Payments L Physical Damage U1 Uninsured Motor Vehicle PD PRESCRIBED BY LAW. D Comprehensive R1 Car Rental and Travel Expenses Z Loss of Earnings COVERAGES A H U U1 G Collision S Death,Dismemberment and Loss of Sight KEEP A CARD IN YOUR CAR. THIS CARD IS INVALID IF THE POLICY FOR WHICH IT WAS ISSUED LAPSES OR IS TERMINATED. KEEP YOUR CURRENT CARD UNTIL THE EFFECTIVE DATE OF THIS CARD. ONE COPY OF THIS FORM SHOULD BE CARRIED IN THE VEHICLE AT ALL TIMES.THE FORM MAYBE NEEDED AS EVIDENCE OF INSURANCE IN COURT. SUBMIT ONE CARD,OR A PHOTOCOPY OF A CARD,WITH YOUR VEHICLE REGISTRATION RENEWAL Emergency Road Service information is located on your insurance card. - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - IMPORTANT- IDENTIFICATION CARDS STATE FARM StateFarm StateFarm CALIFORNIA THIS CARD MUST BE KEPT IN THE INSURED MOTOR • ® INSURANCE CARD •=® VEHICLE FOR PRODUCTION UPON DEMAND. State Farm Mutual Automobile Insurance Company IF YOU HAVE AN ACCIDENT-NOTIFY THE POLICE IMMEDIATELY PO Box 2358 Bloomington IL 61702.2358 1.Get names,addresses,and phone numbers of persons involved and witnesses. INSURED MEDINA,ANTHONY MUTL Also get driver license numbers of persons involved and license plate VOL numbers/states of vehicles. 2.Don't admit fault or discuss the accident with anyone but State Farm or police. 3.Promptly notify your agent,log on to statefarm.com®,or use the State Farm mobile app to file a claim. For EMERGENCY ROAD SERVICE use the State Farm mobile app,log on to statefarm.com,or call POLICY NUMBER 737 4537-FIO.75C EFFECTIVE 1-877-627-5757.EXAMINE POLICY EXCLUSIONS CAREFULLY.TMS FORM DOES YR 2014 MAKE FORD DEC 10 2025 TO JUN 10 2026 NOT CONS77TUTE ANY PART OF YOUR INSURANCE POLICY. MODEL FOCUS VIN 1 FADP3K25EL210148 How to identify your coverage.See policy for full name and definition AGENT PEGGY BATES 8761-138A PHONE (714)543-0422 NAIC 25178 A Liability H Emergency Road Service U Uninsured Motor Vehicle COVERAGE PROVIDED BY THE POLICY MEETS THE MINIMUM LIABILITY OMITS C Medical Payments L Physical Damage U1 Uninsured Motor Vehicle PD PRESCRIBED BY LAW. D Comprehensive R1 Car Rental and Travel Expenses Z Loss of Earnings COVERAGES A H U U1 G Collision S Death,Dismemberment and Loss of Sight KEEP A CARD IN YOUR CAR. THIS CARD IS INVALID IF THE POLICY FOR WHICH IT WAS ISSUED LAPSES OR IS TERMINATED. KEEP YOUR CURRENT CARD UNTIL THE EFFECTIVE DATE OF THIS CARD. ONE COPY OF THIS FORM SHOULD BE CARRIED IN THE VEHICLE AT ALL TIMES.THE FORM MAYBE NEEDED AS EVIDENCE OF INSURANCE IN COURT. SUBMIT ONE CARD,OR A PHOTOCOPY OF A CARD,WITH YOUR VEHICLE REGISTRATION RENEWAL 143295.3 (ol eccal d) 01-15-2018 Emergency Road Service information is located on your insurance card. OCT 17 2025