PREMIUM MUST BE PAID FOR COVERAGE TO BE IN FORCE
My.DairylandInsurance.com
FLORIDA AUTOMOBILE INSURANCE IDENTIFICATION CARD MISREPRESENTATION OF INSURANCE IS A FIRST DEGREE MISDEMEANOR.
PEAK PROPERTY AND CASUALTY INSURANCE CORPORATION NAIC 18139 You are required to keep this card in the insured motor vehicle and produce it
POLICY NUMBER 11408313809-01974 EFFECTIVE DATE 12/27/2022 upon demand. This form does not constitute part of your insurance policy. The
PERSONAL INJURY PROTECTION coverage provided by the policy meets the minimum liability limits prescribed by
X BODILY INJURY LIABILITY Florida law. If Comprehensive and/or Collision Coverage is purchased for at least
BENEFITS/PROPERTY DAMAGE LIABILITY
NAMED INSURED one of your vehicles, coverage will apply for damage to a rental vehicle - subject
Fold Here
PEREZ, GUSTAVO to the deductible amount(s). Refer to Outline of Coverages or policy for details.
12910 US HIGHWAY 90 LOT 42
LIVE OAK FL 32060 IN CASE OF AN ACCIDENT
Obtain the following information...
1. Name and address of each driver, passenger and witness.
YEAR 2016 MAKE NISSAN/DATSUN ALTIMA VIN NUMBER 1N4AL3AP3GC262716 2. Name of insurance company and policy number for each vehicle involved.
NOT VALID FOR MORE THAN ONE YEAR FROM EFFECTIVE DATE
EXPIRATION DATE 06/27/2023
Agency Agency Phone 833-445-3779
FL3000-1216
Jerry Insurance Agency LLC
430 Sherman Ave Ste 305
Palo Alto CA 94306
.
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.