EFTA02306579

FLORIDA AUTO INSURANCE IDENTIFICATION CARD COMPANY Chartls Property Casualty Comp POLICY a. 0004284329 D EFFECTIVE ATE 03/19/2012 YEAR 1967 tin, MINI MOKE VEHICLE ID. y PERSONAL INJURY PROTECTION X DAMAGE LIABILITY N D NI SURED. 358 El MOO WaY ADDRESS. Palm Beach, FL 33480 (OPTIONAL) X BOOILY INJURY LIABILITY NOT VAUD FOR MORE THAN ONE YEAR FROM EFFECTYVE DATE THIS CARD MUST BE KEPT IN THE INSURED VEHICLE AND PRESENTED UPON DEMAND IN CASE OF ACCIDENT: Report all accidents to your Agent/Company as soon as possible. Obtain the following information: 1. Name and address of each driver, passenger and witness. 2. Name of Insurance Company and policy number for each vehicle involved. Rental car coverage is provided. see outline of coverage. MISREPRESENTATION OF INSURANCE IS A FIRST DEGREE MISDEMEANOR ACORD SO FL (3/94) 0 ACORD CORPORATION 1994 EFTA_R1_01182540 EFTA02306579