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Agency Code 12-0423-00 Policy Number 50-636587-00 <br /> FLORIDA AUTOMOBILE INSURANCE FLORIDA AUTOMOBILE INSURANCE <br /> IDENTIFICATION CARD IDENTIFICATION CARD <br /> Auto-Owners Insurance Company Lansing,MI Auto-Owners Insurance Company Lansing,MI <br /> Company Code: 09703 Company Code: 09703 <br /> Policy Number 50-636587-00 Effective Date 02-25-2017 Policy Number 50-636587-00 Effective Date 02-25-2017 <br /> Personal Injury Protection Benefits Yes Bodily Injury Liability Yes Personal Injury Protection Benefits Yes Bodily Injury Liability Yes <br /> Property Damage Liability Yes Property Damage Liability Yes <br /> Named Insured OCEAN RESEARCH CONSERVATION ASSOC Named Insured OCEAN RESEARCH CONSERVATION ASSOC <br /> Year/Make 1998 CHEV BLAZER Year/Make 1998 CHEV BLAZER <br /> VIN 1GNCS13W7W2285054 VIN 1GNCS13W7W2285054 <br /> Agency HARBOR INSURANCE AGENCY INC Agency HARBOR INSURANCE AGENCY INC <br /> Phone (772) 461-6040 Agency Code 12-0423-00 Phone (772) 461-6040 Agency Code 12-0423-00 <br /> NOT VALID FOR MORE THAN ONE YEAR NOT VALID FOR MORE THAN ONE YEAR <br /> FROM EFFECTIVE DATE FROM EFFECTIVE DATE <br /> THE INSURANCE COVERAGES AVAILABLE UNDER THIS POLICY MAY THE INSURANCE COVERAGES AVAILABLE UNDER THIS POLICY MAY <br /> APPLY TO VEHICLES YOU RENT. SEE OUTLINE OF COVERAGE AND APPLY TO VEHICLES YOU RENT. SEE OUTLINE OF COVERAGE AND <br /> CONTACT YOUR AGENCY. CONTACT YOUR AGENCY. <br /> MISREPRESENTATION OF INSURANCE IS A MISREPRESENTATION OF INSURANCE IS A <br /> FIRST DEGREE MISDEMEANOR FIRST DEGREE MISDEMEANOR <br /> THIS FORM DOES NOT CONSTITUTE ANY PART OF YOUR THIS FORM DOES NOT CONSTITUTE ANY PART OF YOUR <br /> INSURANCE POLICY AND MAY NOT BE USED TO MODIFY THE INSURANCE POLICY AND MAY NOT BE USED TO MODIFY THE <br /> TERMS OR CONDITIONS OF THE POLICY. EXAMINE YOUR POLICY TERMS OR CONDITIONS OF THE POLICY. EXAMINE YOUR POLICY <br /> CAREFULLY. CAREFULLY. <br /> KEEP THIS CARD IN YOUR POSSESSION AT ALL TIMES. KEEP THIS CARD IN YOUR POSSESSION AT ALL TIMES, <br /> The Florida Bureau of Financial Responsibility requires that all licensed The Florida Bureau of Financial Responsibility requires that all licensed <br /> drivers carry an insurance identification card at all times. If you require drivers carry an insurance identification card at all times. If you require <br /> more cards for other licensed drivers covered under this policy, SEE more cards for other licensed drivers covered under this policy, SEE <br /> YOUR AGENT. YOUR AGENT. <br /> 89414 (2-12) 89414 (2-12) <br /> IN CASE OF ACCIDENT IN CASE OF ACCIDENT <br /> 1. Obtain name and address of other driver, insurance 1. Obtain name and address of other driver, insurance <br /> information, license number of other car, details of accident information, license number of other car, details of accident <br /> and names and addresses of witnesses. and names and addresses of witnesses. <br /> 2. Do not discuss details of the accident with anyone but the 2. Do not discuss details of the accident with anyone but the <br /> investigating officer. Make no admissions or offer investigating officer. Make no admissions or offer <br /> payments. payments. <br /> 3. Contact your agent, as soon as possible, to report the 3. Contact your agent, as soon as possible, to report the <br /> accident. The phone number of your agent is on the front accident. The phone number of your agent is on the front <br /> side of this form. side of this form. <br /> 4. If you are unable to reach your agent after normal business 4. If you are unable to reach your agent after normal business <br /> hours,we provide monitored phone service from 5:00 PM - hours,we provide monitored phone service from 5:00 PM- <br /> 8:00 AM Eastern Time - Monday through Friday, and 24 8:00 AM Eastern Time - Monday through Friday, and 24 <br /> hours on weekends and holidays. This service is available hours on weekends and holidays. This service is available <br /> by calling 1-888-252-4626 from anywhere within the United by calling 1-888-252-4626 from anywhere within the United <br /> States for the reporting of claims emergencies only. States for the reporting of claims emergencies only. <br /> CANADA NON-RESIDENT INTER-PROVINCE CANADA NON-RESIDENT INTER-PROVINCE <br /> MOTOR VEHICLE LIABILITY INSURANCE CARD MOTOR VEHICLE LIABILITY INSURANCE CARD <br /> CERTIFICAT D'ASSURANCE-AUTOMOBILE RESPONSABILITE CERTIFICAT D'ASSURANCE-AUTOMOBILE RESPONSABILITE <br /> • This certifies that the party named herein is insured against This certifies that the party named herein is insured against <br /> liability for bodily injury and property damage by reason of the . liability for bodily injury and property damage by reason of the <br /> operation of the motor vehicle described herein,in an amount not operation of the motor vehicle described herein,in an amount not <br /> less than the statutory minimum requirements of every province less than the statutory minimum requirements of every province <br /> of Canada. of Canada. <br /> WARNING-Any person who issues or produces a card to show WARNING-Any person who issues or produces a card to show <br /> that there is in force a policy of insurance as indicated herein that that there is in force a policy of insurance as indicated herein that <br /> is in fact not in force is liable to a heavy fine and/or imprisonment is in fact not in force is liable to a heavy fine and/or imprisonment <br /> and his license may be suspended. and his license may be suspended. <br /> This card should be carried in the insured vehicle for This card should be carried in the insured vehicle for <br /> •production as proof of insurance when demanded by police. production as proof of insurance when demanded by police. <br /> 89271(2-12) . 89271(2-12) <br />