KANSAS TEMPORARY LIABILITY INSURANCE CARD
STATE FARM®
Kansas Liability Insurance Card...This policy provides at least the minimum amounts of liability
insurance required by the Texas Motor Vehicle Safety Responsibility Act for the specified vehicle and named
insureds and may provide coverage for other persons and other vehicles as provided by the insurance policy.
Insurance Company Vehicle-Year, Make, Model of Covered Vehicle
State Farm County Mutual Insurance 2003 MERCURY MOUNTAINEER
Company of Texas Vehicle Identification Number
Phone: 800-STATE-FARM (800-782-8332) 4M2DU86W23ZJ27696
Agent or Producer 1982 NAIC # 26815
James Buckman Insured
11532 West 95th Street Wendi Esquivel
Policy Number 543 9325-D16-42 824 S Water St
Effective Date To Expiration Date Witchita, KS 67213-5440
Jun-23-2023 Dec-23-2023
Coverages
A, D500, G500, H, P, U Drivers
Esquivel, Wendi
KEEP THIS LIABILITY INSURANCE CARD IN YOUR VEHICLE OR POSSESSION
Kansas Liability Insurance Card Tarjeta de Seguro de Responsabilidad
Keep this card. Civil de Kansas
Guarde esta tarjeta.
IMPORTANT: You must show this card or a copy of IMPORTANTE: Usted debe mostrar esta tarjeta o
your insurance policy when you apply for or renew una copia de su póliza de seguro cuando solicite o
your: renueve su:
• Motor vehicle registration • Registro del vehículo motorizado
• Driver’s license • Licencia de conducir
• Motor vehicle safety inspection sticker • Etiqueta de inspección de segurida para su
vehículo.
You may also be asked to show this card or your También se puede pedir que usted muestre esta
policy if you have an accident or if a peace officer tarjeta o su póliza si tiene un accidente o si se la pide
asks to see it. un oficial de policía.
All drivers in Texas must carry liability insurance on Todos los conductores en Texas deben tener un
their vehicles or otherwise meet legal requirements seguro de responsabilidad civil para sus vehículos, o
for financial responsibility. If you do not meet your de lo contrario deben cumplir con los requisitos
financial responsibility requirements, you could be legales de responsabilidad financiera. Si usted no
fined up to $1,000, your driver’s license and motor cumple con los requisitos de responsabilidad
vehicle registration could be suspended, and your financiera, podría estar sujeto a pagar una multa de
vehicle could be impounded for up to 180 days (at a hasta $1,000, mas la suspensión de su licencia de
cost of $15 per day). conducir y la suspensión del registro del vehículo, y
además su vehículo podría ser confiscado por hasta
180 días (a un costo de $15 por día).
IF YOU HAVE AN ACCIDENT- NOTIFY POLICE IMMEDIATELY
1. Get names, addresses, and phone numbers of persons involved and witnesses. Also get driver license numbers of
persons involved and license plate numbers/states of vehicles.
2. Do not admit fault, or discuss the accident with anyone but State Farm® or Police
3. Promptly notify your agent, log on to statefarm.com®, or use the State Farm mobile app to file a claim.
For EMERGENCY ROAD SERVICE use the State Farm mobile app,
log on to statefarm.com, or call 877-627-5757.
1002987 2005 144786 201 02-20-2018
