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EVIDENCE OF INSURANCE - STATE OF CALIFORNIA Named insured


KUMAREN GOVINDARAJAN SUCHITRA LAWANYA 34404 CALGARY TER FREMONT, CA 94555-2901

Policy number: Effective date: Expiration date: NAIC number:

188193951 11/13/2012 05/13/2013 21687

MID-CENTURY INSURANCE COMPANY, LOS ANGELES, CALIFORNIA , an authorized California Insurer, in compliance with the California Financial Responsibility Act, certifies that it has issued a policy in an amount not less than that required by the California Financial Responsibility Law for the described motor vehicle(s).
Vehicle description: 2005 MERCEDES BENZ

M CLASS 4D 4X4 ML350

4JGAB57E65A535537

Registered Owner: KUMAREN GOVINDARAJAN

Agent name: Clysly O Desales


25-6408 8-12

Phone no: 650-301-5016 Keep this certificate in your vehicle at all times.
A6408411

READ CAREFULLY
THE CALIFORNIA FINANCIAL RESPONSIBILITY ACT, (SECTION 16020) OF THE VEHICLE CODE, REQUIRES EVERY OWNER OR OPERATOR OF A VEHICLE SUBJECT TO THE REQUIREMENTS OF THE FINANCIAL RESPONSIBILITY ACT SHALL CARRY EVIDENCE OF FINANCIAL RESPONSIBILITY IN THE VEHICLE AT ALL TIMES. UNDER VEHICLE CODE (SECTION 16025) EVERY DRIVER INVOLVED IN AN ACCIDENT MUST PROVIDE EVIDENCE OF FINANCIAL RESPONSIBILITY AT THE SCENE. FAILURE TO COMPLY IS AN INFRACTION AND SHALL BE PUNISHABLE BY A FINE OF NOT MORE THAN TWO HUNDRED FIFTY DOLLARS ($250).

Our award-winning HelpPoint Claim Services by Farmers team is available 24 hours a day, seven days a week to handle your auto claim loss report, arrange roadside assistance, towing, or even coordinate auto glass repair or replacement at your request. Please contact us at: For English: 1 800 HelpPoint (1-800-435-7764); or Para Espaol: 1 877 Reclamo (1-877-732-5266) WHAT TO DO IN CASE OF AN ACCIDENT: 1. Be aware of your personal safety and that of others at the accident scene. Check for injuries and call 911, if needed. 2. Warn other drivers to prevent further damage. Turn on your flashers and set flares, if available. Signal with flashlight at night. 3. Notify the police. Many times a passing driver or bystander will do this for you. 4. Gather the facts. Get the names of witnesses, along with other pertinent information like driver's license and phone numbers, accident scene and vehicle damage photos, insurance information and vehicle descriptions. 5. Be careful what you say - an investigation may later show you were not responsible for the accident. 6. Report the accident to proper authorities. Each state has its own requirements for such reports. Know and comply with your state's law. 7. CONTACT HELPPOINT CLAIM SERVICES IMMEDIATELY! CALL US 24-HOURS A DAY AT (800) HELPPOINT (800-435-7764). FOR ASSISTANCE PARA ESPAOL, LLAME AL (877) RECLAMO. Visit www.hpcs.com to learn more about your claim self-service options. It's quick, convenient and always open! See policy for actual coverage language. FARMERS INSURANCE GROUP OF COMPANIES 4680 WILSHIRE BLVD, LOS ANGELES,CA 90010

EVIDENCE OF INSURANCE - STATE OF CALIFORNIA Named insured


KUMAREN GOVINDARAJAN SUCHITRA LAWANYA 34404 CALGARY TER FREMONT, CA 94555-2901

Policy number: Effective date: Expiration date: NAIC number:

188193951 11/13/2012 05/13/2013 21687

MID-CENTURY INSURANCE COMPANY, LOS ANGELES, CALIFORNIA

, an authorized California Insurer, in compliance with the California Financial Responsibility Act, certifies that it has issued a policy in an amount not less than that required by the California Financial Responsibility Law for the described motor vehicle(s).
M CLASS 4D 4X4 ML350 4JGAB57E65A535537
Registered Owner: KUMAREN GOVINDARAJAN

Vehicle description: 2005 MERCEDES BENZ

Agent name:Clysly O Desales


25-6408 8-12

Phone no:650-301-5016
DMV REGISTRATION COPY
A6408411

Keep this certificate in your vehicle at all times.

The California Department of Motor Vehicles (DMV) requires proof of insurance when registering your vehicle. On the back of this page is the DMV's copy of the Evidence of Insurance form. Please provide this form to the DMV when registering your vehicle.

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