GEORGIA INSURANCE IDENTIFICATION CARD

The current status of actual motor vehicle liability insurance coverage is maintained by the KEEP THIS CARD IN YOUR MOTOR VEHICLE WHILE
Georgia Department of Motor Vehicle Safety and is accessible to law enforcement agencies IN OPERATION
upon a check of the vehicle registration. The vehicle described below is covered by a liability
policy that meets Georgia’s insurance requirements.

Company: Mendota Insurance Company Phone Number:

P.O. Box 64586 St. Paul, MN 55164-0586 1-800-422-0792 IN CASE OF AN ACCIDENT
Policy Number Effective Date Expiration Date
GA0004561M 01/04/2021 07/04/2021  Call Mendota immediately
1-800-422-0793 toll free, 24 hours a day
Year / Make / Model Vehicle Identification Number  Be sure to get: name and address of each driver, passenger, and witness; and
2018 CHEVROLET MALIBU 1G1ZD5ST9JF253874 insurance company and policy number for each vehicle involved.
 Only discuss the accident with police officers or Mendota representatives

FOR POLICY SERVICE CALL 1-800-422-0792

Agent VICTORIA LLC DBA GLOBAL INSURANCE
COMPANY
3940 PEACHTREE IND BLVD FRAUD HOTLINE
DULUTH, GA 30096-0000 NAIC # 1326-33650 If you suspect FRAUD on any policy or claim, call the National
Insured RAINA HENRY Insurance Crime Bureau (NICB) 24-hour hotline (800)835-6422. Help
125 TIBURON CT us fight fraud.
LITHONIA, GA 30038

Rev. 4-07 Keep this card in the vehicle at all times.

See Important Notice on Reverse Side

Insured Cards GA0004561M