AMERICAN FAMILY MUTUAL INSURANCE COMPANY, S.I.

7301 OHMS LN STE 430

EDINA MN 55439-2376

Fold and tear along perforations

Minnesota Insurance Card Minnesota Insurance Card

Insured: ANDERSON, SPENCER & SARA SMITH Insured: ANDERSON, SPENCER & SARA SMITH
Policy Number: 2150-8085-06-59-FPPA-MN Policy Number: 2150-8085-06-59-FPPA-MN
Effective Date: 01/15/2024 Expiration Date: 01/15/2025 Effective Date: 01/15/2024 Expiration Date: 01/15/2025
Vehicle Description: Vehicle Description:
2004 MERB S-CL 2004 MERB S-CL
Vehicle Identification Number: Vehicle Identification Number:
WDBNG84J14A426443 WDBNG84J14A426443
Coverage: Coverage:
BIPD UM UIM PIP ERS BIPD UM UIM PIP ERS
Agent: BURNETT & ASSOCIATES, LLC Agent: BURNETT & ASSOCIATES, LLC
Agent Phone: (952) 933-8495 Agent Phone: (952) 933-8495

Fold and tear along perforations

To report a claim, call: To report a claim, call:
1-800-MY AMFAM 1-800-MY AMFAM
1-800-692-6326 1-800-692-6326
24 Hour Access 24 Hour Access
Anytime, Anywhere Anytime, Anywhere

WE'RE THERE WHEN YOU NEED US WE'RE THERE WHEN YOU NEED US
MY POLICY # MY POLICY #
2150-8085-06-59-FPPA-MN 2150-8085-06-59-FPPA-MN

Keep this in your vehicle as a handy reference Keep this in your vehicle as a handy reference

U-339 (MN) Rev. 10/17 Page 1 of 2 Stock No. 38185

Minnesota Law: All drivers must have proof of insurance in
their possession at all times when operating a vehicle.
Failure to provide proof of insurance at the request of a law
enforcement official is a misdemeanor punishable by a fine
of not less than $200, revocation of a driver's license or
permit and possible imprisonment.
Minnesota Law: All drivers must have proof of insurance in
their possession at all times when operating a vehicle.
Failure to provide proof of insurance at the request of a law
enforcement official is a misdemeanor punishable by a fine
of not less than $200, revocation of a driver's license or
permit and possible imprisonment.

To report a claim, call: 1-800-MY AMFAM (1-800-692-6326) To report a claim, call: 1-800-MY AMFAM (1-800-692-6326)

AMERICAN FAMILY MUTUAL INSURANCE COMPANY, AMERICAN FAMILY MUTUAL INSURANCE COMPANY,
S.I. S.I.
6000 American Parkway Madison WI 53783 6000 American Parkway Madison WI 53783
NAIC # 19275 NAIC # 19275

IN CASE OF AN ACCIDENT ANYWHERE... IN CASE OF AN ACCIDENT ANYWHERE...

1. Identify yourself to 4. Do not sign a 1. Identify yourself to 4. Do not sign a
other parties involved statement covering the other parties involved statement covering the
and offer any required accident except for and offer any required accident except for
emergency assistance. authorities or an emergency assistance. authorities or an
2. Get Names and authorized 2. Get Names and authorized
addresses of other representative of your addresses of other representative of your
parties involved and all insurance company. parties involved and all insurance company.
witnesses including 5. Make Accident Report witnesses including 5. Make Accident Report
driver and any to police. If police will driver and any to police. If police will
passengers in other not come, be sure to passengers in other not come, be sure to
vehicles. report the accident, vehicles. report the accident,
3. Avoid discussing the even a hit-and-run 3. Avoid discussing the even a hit-and-run
details of the accident accident. details of the accident accident.
with anyone except 6. Call your agent or our with anyone except 6. Call your agent or our
authorities. Make no 24-hour Claim Call authorities. Make no 24-hour Claim Call
admission and take no Center, 1-800-MY admission and take no Center, 1-800-MY
blame for the accident. AMFAM or blame for the accident. AMFAM or
1-800-692-6326. 1-800-692-6326.

U-339 (MN) Rev. 10/17 Page 2 of 2 Stock No. 38185