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Proof of Insurance

This document is a uniform insurance card from Ensureall Insurance Company providing evidence of liability insurance for Melissa Rodriguez. It includes her name, vehicle identification number, make and year of the insured vehicle (2010 Ford), the insurance company name and address, and the effective dates of coverage from March 1, 2010 to March 1, 2025. The bottom section provides scanline specifications for reading the card electronically.

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314 views1 page

Proof of Insurance

This document is a uniform insurance card from Ensureall Insurance Company providing evidence of liability insurance for Melissa Rodriguez. It includes her name, vehicle identification number, make and year of the insured vehicle (2010 Ford), the insurance company name and address, and the effective dates of coverage from March 1, 2010 to March 1, 2025. The bottom section provides scanline specifications for reading the card electronically.

Uploaded by

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Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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UNIFORM INSURANCE CARD

REG 890A (REV. 5/97)

IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
CALIFORNIA EVIDENCE OF LIABILITY INSURANCE
DO NOT FOLD OR STAPLE – SUBMIT ORIGINAL TO DMV

This insurance complies with CVC §16056 or §16500.5 _______________________________________________


SIGNATURE OF INSURANCE REPRESENTATIVE

VEHICLE IDENTIFICATION NUMBER (VIN) MAKE

Melissa Rodriguez 9PH12345678901234 Ford 2010


IINSURANCE COMPANY NAME

23129958780 03-01-2010 03-01-2025 Ensureall Insurance Company


CITY
IINSURANCE COMPANY STREET ADDRESS STATE ZIP CODE NAIC NUMBER
24156 First Avenue Concard CA 94521-2312 12345
FR]12345]03012003]03012004]2003]FOR]17]9PH123456789012340000000000000]00000000]41
A B C D E F G H I J

SCANLINE SPECIFICATIONS
• OCR Font A (OCRA) 10 characters per inch
• 1.2 centimeters (1/2 inch) from the bottom of the form
• 1.2 centimeters from the right edge
• 2.0 centimeters from the left edge
• Right justify and zero fill left

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