ILLINOIS LIABILITY INSURANCE IDENTIFICATION CARD
COMPANY #10730
DOWNERS GROVE, ILLINOIS 60515
Policy Number Effective Date Expiration Date
12AU001257220 01/04/2020 15:16 01/04/2021 15:16
Year Make/Model VIN
1996 Honda / Accord 1HGCE6672TA008090
AGENCY INSURANCE CO. ISSUING CARD
*IV WEST CHICAGO 630-***-****
INSURED
Delise J Moore
ADDRESS
920 N SLEIGHT STREET
NAPERVILLE IL 60563
DRIVER(S) COVERED
MOORE, DELISE J
SEE IMPORTANT INFORMATION ON REVERSE SIDE
IF YOU HAVE AN ACCIDENT NOTIFY POLICE IMMEDIATELY
REPORT ALL ACCIDENTS TO YOUR AGENT/AMERICAN CASUALTY COMPANY AS SOON AS POSSIBLE. OBTAIN THE FOLLOWING INFORMATION: 1. NAME, ADDRESS, AND TELEPHONE NUMBER OF EACH DRIVER, PASSENGER, AND WITNESS
2. NAME OF EACH INSURANCE COMPANY AND POLICY NUMBER FOR EACH VEHICLE INVOLVED.
3. DO NOT ADMIT FAULT. DO NOT DISCUSS THE ACCIDENT WITH ANYONE EXCEPT YOUR INSURANCE AGENT OR AMERICAN
ACCESS CASUALTY OR THE POLICE.
**IF YOUR VEHICLE IS DISABLES OR NEEDS TO BE TOWED PLEASE CALL OUR 24 HOUR TOW FACILITY AMERICAN
ACCESS ROADSIDE SERVICES
AT 1-866-***-****.
EXAMINE POLICY EXCLUSIONS CAREFULLY. THIS FORM DOES NOT CONSTITUTE ANY PART OF YOUR INSURANCE POLICY.
TO REPORT A CLAIM CALL 630-***-****
ILID06012011