COLORADO
INSURANCE IDENTIFICATION CARD
Valid in U.S. and Canada
•� BRISTOL WEST
This Card Must Be Shown To Any Law Enforcement Officer Upon Request SURANCE GROUP
BRISTOL WEST INSURANCE COMPANY NAIC #19658
PO BOX 31029 INDEPENDENCE, OH 44131-0029 Underwritten By: Bristol West Insurance Company
POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE
G01 1622777 00. 05/15/2024 11/15/20 24 Examine policy exclusions carefully. This form does not constitute any part
of your insurance policy.
INSURED Not Valid More than One Year from Effective Date
TAI NGUYEN
470 S IRVING ST
DENVER CO 80219-2813
PRODUCER 0596778 PHONE: 833-445-3779
JERRY INSURANCE AGENCY LLC
430 SHERMAN AVE STE 305
PALO ALTO CA 94306-1854
In the event of a loss, you can submit your loss information
YEAR MAKE/MODEL 24/7 at www.BristolWest.com or call us Toll-Free during business hours at
2010 HONDA ACCORD EX 1-800-274-7865
VEHICLE IDENTIFICATION NO SEE IMPORTANT MESSAGE
1HGCP2F81AA005271 ON REVERSE SIDE For policy information or billing go to www.BristolWest.com
COID00001 (03/04)
COLORADO
INSURANCE IDENTIFICATION CARD
Valid in U.S. and Canada BRISTOL WEST
This Card Must Be Shown To Any Law Enforcement Officer Upon Request • I SURANCE GROUP
BRISTOL WEST INSURANCE COMPANY NAIC #19658
PO BOX 31029 INDEPENDENCE, OH 44131-0029 Underwritten By: Bristol West Insurance Company
POLICY NUMBER EFFECTIVE DATE EXPIRATION DATE
Examine policy exclusions carefully. This form does not constitute any part
G01 1622777 00 05/15/2024 11/15/2024
of your insurance policy.
INSURED Not Valid More than One Year from Effective Date
TAI NGUYEN
470 S IRVING ST
DENVER CO 80219-2813
PRODUCER 0596778 PHONE: 833-445-3779
JERRY INSURANCE AGENCY LLC
430 SHERMAN AVE STE 305
PALO ALTO CA 94306-1854
YEAR MAKE/MODEL In the event of a loss, you can submit your loss information
2010 HONDA ACCORD EX 24/7 at www.BristolWest.com or call us Toll-Free during business hours at
1-800-274-7865
VEHICLE IDENTIFICATION NO SEE IMPORTANT MESSAGE
1HGCP2F81AA005271 ON REVERSE SIDE
For policy information or billing go to www.BristolWest.com
COID00001 (03/04)
