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 4372738 00 03/18/2024 09/18/2024 The following drivers are excluded from this policy
INSURED Not Valid More than One Year from Effective Date
JOSE TORRES
3704 W POLK ST APT 1E
CHICAGO IL 60624-4095

PRODUCER 1203107 PHONE: 630-703-7414

Altamirano,Marco
1561 SYCAMORE RD
YORKVILLE IL 60560-1952

YEAR MAKE MODEL In the event of a loss, you can submit your loss information 24/7 at
2015 JEEP CHEROKEE SPORT www.BristolWest.com or call us Toll-Free during business hours at
1-800-274-7865
VEHICLE IDENTIFICATION NO SEE IMPORTANT MESSAGE
For policy information or billing go to www.BristolWest.com
1C4PJLAB4FW628128 ON REVERSE SIDE

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 4372738 00 03/18/2024 09/18/2024 The following drivers are excluded from this policy
INSURED Not Valid More than One Year from Effective Date
JOSE TORRES
3704 W POLK ST APT 1E
CHICAGO IL 60624-4095

PRODUCER 1203107 PHONE: 630-703-7414

Altamirano,Marco
1561 SYCAMORE RD
YORKVILLE IL 60560-1952

YEAR MAKE In the event of a loss, you can submit your loss information 24/7 at
2015 JEEP MODEL
www.BristolWest.com or call us Toll-Free during business hours at
CHEROKEE SPORT
1-800-274-7865
VEHICLE IDENTIFICATION NO SEE IMPORTANT MESSAGE
1C4PJLAB4FW628128 ON REVERSE SIDE For policy information or billing go to www.BristolWest.com