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

IF YOU HAVE AN ACCIDENT-
NOTIFY POLICE IMMEDIATELY
POLICY NUMBER 05 -0059-K57
1. Get names, addresses, and phone numbers of persons involved and
INSURED
CARDOSO,JATNIEL JALES 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
EFFECTIVE DATE SEP-10-2020 EXPIRATION DATE NOV-08-2020 Farm mobile app to file a claim.
CAR-YEAR/MAKE/VEHICLE IDENTIFICATION NUMBER 3. Don't admit fault or discuss the accident with anyone but State Farm or
2018 FORD ESCAPE "SE" 2WD 4D police.
1FMCU0GD7JUB46816

COVERAGES For EMERGENCY ROAD SERVICE use the State Farm mobile app,
A, C, D500, G1000, H, R1, U, log on to statefarm.com, or call 877-627-5757.
U1
The coverage provided by the policy meets the
minimum liability limits prescribed by law.
HOW TO IDENTIFY YOUR COVERAGES
NAIC #25178
SEE POLICY FOR FULL NAME AND DEFINITION

TEMPORARY
State Farm Mutual Automobile Insurance Company
900 OLD RIVER ROAD
BAKERSFIELD CA 93311-9501
A
C
D
Liability
Medical Payments
Comprehensive
R1
S
Car Rental and Travel Expense
Death, Dismemberment and
Loss of Sight
AGENT G Collision U Uninsured Motor Vehicle
WONG, DAVID F H Emergency Road Service U1 Uninsured Motor Vehicle - PD
267 MILLER AVE L Physical Damage Z Loss of Earnings
MILL VALLEY, CA 94941-2897
PHONE# 415-383-3888
STATE FARM®

Submit this card or a photocopy of this with your vehicle registration renewal.

One copy of this form should be carried in the vehicles at all times.

The form may be needed as evidence of insurance in court.

Emergency Road Service information is located on your insurance card.

1001188 2004 144750 201 02-20-2018