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Ins Id Card

This document is an Illinois Insurance Identification Card issued by Bristol West Insurance Company, valid in the United States and Canada. It includes policy details such as the policy number, effective and expiration dates, and the insured individuals' names and address. Additionally, it provides contact information for the insurance producer and instructions for reporting a loss or obtaining policy information.

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56 views1 page

Ins Id Card

This document is an Illinois Insurance Identification Card issued by Bristol West Insurance Company, valid in the United States and Canada. It includes policy details such as the policy number, effective and expiration dates, and the insured individuals' names and address. Additionally, it provides contact information for the insurance producer and instructions for reporting a loss or obtaining policy information.

Uploaded by

gm4rsnm8vr
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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ILLINOIS

INSURANCE IDENTIFICATION CARD


Valid in the United States and Canada
This Card Must Be Shown To Any Law Enforcement Officer Upon Request
BRISTOL WEST INSURANCE COMPANY NAIC #19658
Examine policy exclusions carefully. This form does not constitute
POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE any part of your insurance policy.
G01 5775689 00 01/22/2025 07/22/2025 The following drivers are excluded from this policy
INSURED Not Valid More than One Year from Effective Date
MAIRAMBEK DUISHENALIEV
AITURGAN DUISHO KYZY
9021 LAVERGNE AVE APT 1N
SKOKIE IL 60077-1623

PRODUCER 1208700 PHONE: 872-302-4988


Toktosun,Joma
4611 N KEDZIE AVE
CHICAGO IL 60625-6363

YEAR MAKE MODEL


2010 TOYOTA PRIUS HYBRID 5D In the event of a loss, you can submit your loss information 24/7 at
www.BristolWest.com or call us Toll-Free during business hours at
VEHICLE IDENTIFICATION NO SEE IMPORTANT MESSAGE 1-800-274-7865
JTDKN3DU9A0151980 ON REVERSE SIDE
For policy information or billing go to www.BristolWest.com

ILLINOIS
INSURANCE IDENTIFICATION CARD
Valid in the United States and Canada
This Card Must Be Shown To Any Law Enforcement Officer Upon Request
BRISTOL WEST INSURANCE COMPANY NAIC #19658

POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE Examine policy exclusions carefully. This form does not constitute
G01 5775689 00 01/22/2025 07/22/2025 any part of your insurance policy.
INSURED Not Valid More than One Year from Effective Date The following drivers are excluded from this policy
MAIRAMBEK DUISHENALIEV
AITURGAN DUISHO KYZY
9021 LAVERGNE AVE APT 1N
SKOKIE IL 60077-1623

PRODUCER 1208700 PHONE: 872-302-4988


Toktosun,Joma
4611 N KEDZIE AVE
CHICAGO IL 60625-6363

YEAR MAKE MODEL


2010 TOYOTA PRIUS HYBRID 5D
In the event of a loss, you can submit your loss information 24/7 at
VEHICLE IDENTIFICATION NO SEE IMPORTANT MESSAGE www.BristolWest.com or call us Toll-Free during business hours at
JTDKN3DU9A0151980 ON REVERSE SIDE 1-800-274-7865

For policy information or billing go to www.BristolWest.com

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