PREMIUM MUST BE PAID FOR COVERAGE TO BE IN FORCE

CUT OUT CARDS AND FOLD TO FIT WALLET

My.DairylandInsurance.com

IOWA AUTOMOBILE INSURANCE IDENTIFICATION CARD IN CASE OF AN ACCIDENT

Viking Insurance Company of Wisconsin NAIC 13137 Obtain the following Information...
1. Name and address of each driver, passenger and witness.
Named Non-Owner Policy 2. Name of insurance company and policy number for each vehicle involved.
Policy 11404476522
Effective Date 04/06/2019 THE COVERAGES LISTED ON THE DECLARATIONS PAGE APPLY FOR ONLY THE
Expiration Date 10/06/2019 NAMED INSURED WHILE DRIVING NON-OWNED CARS. COVERAGE DOES NOT APPLY
Named Insured(s) WHEN DRIVING A NON-OWNED CAR AVAILABLE FOR REGULAR USE BY THE NAMED
KOEPPEL, EDEN INSURED.

Fold Here
2740 Boston Ave
Des Moines IA 50310 COVERAGE COMPLIES WITH MINIMUM AMOUNT OF LIABILITY INSURANCE REQUIRED.
THIS CARD SERVES AS SATISFACTORY EVIDENCE IF ASKED TO VERIFY FINANCIAL
RESPONSIBILITY.

Agency
Select Insurance Group
4638 S Saint Peters Pkwy
St Charles MO 63304
Agency Phone 636-410-6219 YOU ARE REQUIRED TO KEEP THIS CARD IN YOUR POSSESSION AND PRODUCE IT
UPON DEMAND.
THIS CARD IS NOT PART OF YOUR POLICY AND IS EFFECTIVE ONLY WHILE YOUR
INSURANCE REMAINS IN FORCE. THIS CARD NEITHER AFFIRMATIVELY NOR

GNA3020-0915
NEGATIVELY AMENDS, EXTENDS OR ALTERS THE COVERAGE AFFORDED BY YOUR
POLICY.
If you are in an accident, call us as soon as possible at 1-800-334-0090. We are available
24 hours a day to take your call. See reverse side for additional information.