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PREMIUM MUST BE PAID FOR COVERAGE TO BE IN FORCE

My.DairylandInsurance.com

Vehicle(s) Covered Texas Liability Insurance Card


Year / Año 2006 Insurance Company / Compañia de Seguro
Make / Marca HARLEY-DAVIDSON Dairyland County Mutual Insurance Company Of Texas
de Model / Modelo FXDLI DYNA CA Information Number 1-800-874-4453
VIN / Nùmero de Vehiculo Policy Number / Effective Date/Fecha Efectiva
1HD1GN1386K336111 Nùmero de Pòliza 08/25/2023
11408887893 Expiration Date/Fecha de Expiraciòn
Driver(s) Covered 08/25/2024
SEWELL, OSCAR Year / Año 2006 Make / Marca HARLEY-DAVIDSON
de Model / Modelo FXDLI DYNA CA
VIN / Nùmero de Vehiculo 1HD1GN1386K336111
Agency / Agencia Agency /Agencia Phone #
Parker Stevens Agency (Dairyland) 1-800-874-4453
P O Box 8034
Stevens Point WI 54481

Name and Address of Insured / Nombre y Direcciòn del Asegurado


SEWELL, OSCAR
2505 CYPRESS LN
BURLESON TX 76028

This policy provides at least the minimum amounts of liability insurance


required by the Texas Motor Vehicle Safety Responsibility Act for the specified
vehicles and named insureds and may provide coverage for other persons and
vehicles as provided by the insurance policy.
This is part of your identification card, do not For Roadside Assistance, call 1-855-817-6506
detach. Fold Here TX3000-0317
Tarjeta de Seguro de Texas Liability Insurance Card
Responsabilidad Civil de Texas Keep this card.
Guarde esta tarjeta.
IMPORTANTE: Usted debe mostrar esta IMPORTANT: You must show this card or a copy of your insurance
tarjeta o una copia de su póliza de seguro policy when you apply for or renew
cuando solicite o renueve su: your:
• Registro del vehículo motorizado • Motor vehicle registration
• Licencia de conducir • Driver©s license
• Etiqueta de inspección de segurida para • Motor vehicle safety inspection sticker.
su vehículo. You may also be asked to show this card or your policy if you have an
También se puede pedir que usted muestre accident or if a peace officer asks to see it.
esta tarjeta o su póliza si tiene un accidente o
All drivers in Texas must carry liability insurance on their vehicles or
si se la pide un oficial de policía.
otherwise meet legal requirements for financial responsibility. If you do
Todos los conductores en Texas deben de not meet your financial responsibility requirements, you could be fined
tener seguro de responsabilidad para sus up to $1,000, your driver©s license and motor vehicle registration could
vehiculos o de otra manera llenar los requistos be suspended, and your vehicle could be impounded for up to 180 days
legales de responsabilidad civil. Fallo en llenar (at a cost of $15 per day).
este requisto pudiera resultar en multas de THIS CARD IS NOT PART OF YOUR POLICY AND IS EFFECTIVE ONLY
hasta $1,000, suspensiòn de su licencia para WHILE YOUR INSURANCE REMAINS IN FORCE. THIS CARD NEITHER
conducir y su registro de vehiculo de motor, y AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS THE
la retenciòn de su vehiculo por unperiodo de COVERAGE AFFORDED BY YOUR POLICY.
hasta 180 dias (a un costo de $15 por dia).
PREMIUM MUST BE PAID FOR COVERAGE TO BE IN FORCE

My.DairylandInsurance.com

Vehicle(s) Covered Texas Liability Insurance Card


Year / Año 2006 Insurance Company / Compañia de Seguro
Make / Marca HARLEY-DAVIDSON Dairyland County Mutual Insurance Company Of Texas
de Model / Modelo FXDLI DYNA CA Information Number 1-800-874-4453
VIN / Nùmero de Vehiculo Policy Number / Effective Date/Fecha Efectiva
1HD1GN1386K336111 Nùmero de Pòliza 08/25/2023
11408887893 Expiration Date/Fecha de Expiraciòn
Driver(s) Covered 08/25/2024
SEWELL, OSCAR Year / Año 2006 Make / Marca HARLEY-DAVIDSON
de Model / Modelo FXDLI DYNA CA
VIN / Nùmero de Vehiculo 1HD1GN1386K336111
Agency / Agencia Agency /Agencia Phone #
Parker Stevens Agency (Dairyland) 1-800-874-4453
P O Box 8034
Stevens Point WI 54481

Name and Address of Insured / Nombre y Direcciòn del Asegurado


SEWELL, OSCAR
2505 CYPRESS LN
BURLESON TX 76028

This policy provides at least the minimum amounts of liability insurance


required by the Texas Motor Vehicle Safety Responsibility Act for the specified
vehicles and named insureds and may provide coverage for other persons and
vehicles as provided by the insurance policy.
This is part of your identification card, do not For Roadside Assistance, call 1-855-817-6506
detach. Fold Here TX3000-0317
Tarjeta de Seguro de Texas Liability Insurance Card
Responsabilidad Civil de Texas Keep this card.
Guarde esta tarjeta.
IMPORTANTE: Usted debe mostrar esta IMPORTANT: You must show this card or a copy of your insurance
tarjeta o una copia de su póliza de seguro policy when you apply for or renew
cuando solicite o renueve su: your:
• Registro del vehículo motorizado • Motor vehicle registration
• Licencia de conducir • Driver©s license
• Etiqueta de inspección de segurida para • Motor vehicle safety inspection sticker.
su vehículo. You may also be asked to show this card or your policy if you have an
También se puede pedir que usted muestre accident or if a peace officer asks to see it.
esta tarjeta o su póliza si tiene un accidente o
All drivers in Texas must carry liability insurance on their vehicles or
si se la pide un oficial de policía.
otherwise meet legal requirements for financial responsibility. If you do
Todos los conductores en Texas deben de not meet your financial responsibility requirements, you could be fined
tener seguro de responsabilidad para sus up to $1,000, your driver©s license and motor vehicle registration could
vehiculos o de otra manera llenar los requistos be suspended, and your vehicle could be impounded for up to 180 days
legales de responsabilidad civil. Fallo en llenar (at a cost of $15 per day).
este requisto pudiera resultar en multas de THIS CARD IS NOT PART OF YOUR POLICY AND IS EFFECTIVE ONLY
hasta $1,000, suspensiòn de su licencia para WHILE YOUR INSURANCE REMAINS IN FORCE. THIS CARD NEITHER
conducir y su registro de vehiculo de motor, y AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS THE
la retenciòn de su vehiculo por unperiodo de COVERAGE AFFORDED BY YOUR POLICY.
hasta 180 dias (a un costo de $15 por dia).

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