Part Time Driving Job

TEMPORARY

100****-**** ****** 201-**-**-****

Submit this card or a photocopy of this with your vehicle registration renewal. The form may be needed as evidence of insurance in court. One copy of this form should be carried in the vehicles at all times. Emergency Road Service information is located on your insurance card. TEMPORARY AUTO

IDENTIFICATION CARD

STATE FARM®

This card is invalid if the policy for which it was issued lapses or is terminated. CALIFORNIA CAR INSURANCE CARD

POLICY NUMBER 725 6818-B28-75

INSURED

NEWTE, DERRICK

EFFECTIVE DATE Feb-28-2022 EXPIRATION DATE Apr-29-2022 1997 LEXUS ES 300 4D SED GAS

CAR-YEAR/MAKE/VEHICLE IDENTIFICATION NUMBER

JT8BF22G8V0036473

A, H, U, U1

COVERAGES

The coverage provided by the policy meets the

minimum liability limits prescribed by law.

NAIC # 25178

State Farm Mutual Automobile Insurance Company

900 OLD RIVER ROAD

BAKERSFIELD CA 93311-9501

AGENT

Susanne F Holloway

707 Silver Spur Rd #200B

Rolling Hills Estates, CA 90274

PHONE# 310-***-****

STATE FARM®

IF YOU HAVE AN ACCIDENT-

NOTIFY POLICE IMMEDIATELY

1. Get names, addresses, and phone numbers of persons involved and witnesses. Also get driver license numbers of persons involved and license plate numbers/states of vehicles.

2. Promptly notify your agent, log on to statefarm.com®, or use the State Farm mobile app to file a claim.

3. Don't admit fault or discuss the accident with anyone but State Farm or police.

For EMERGENCY ROAD SERVICE use the State Farm mobile app, log on to statefarm.com, or call 877-***-****.

HOW TO IDENTIFY YOUR COVERAGES

SEE POLICY FOR FULL NAME AND DEFINITION

A Liability

C Medical Payments

D Comprehensive

G Collision

H Emergency Road Service

L Physical Damage

R1 Car Rental and Travel Expense

S Death, Dismemberment and

Loss of Sight

U Uninsured Motor Vehicle

U1 Uninsured Motor Vehicle - PD

Z Loss of Earnings

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