CALIFORNIA INSURANCE IDENTIFICATION CARD
COMPANY NUMBER COMPANY NAME AND ADDRESS
POLICY NUMBER
EFFECTIVE DATE EXPIRATION DATE
THIS POLICY MEETS THE REQUIREMENTS OF § 16056 OF THE CALIFORNIA VEHICLE CODE
YEAR MAKE/MODEL VEHICLE IDENTIFICATION NUMBER
AGENCY/COMPANY ISSUING CARD
INSURED
SEE IMPORTANT NOTICE ON REVERSE SIDE
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.
ACORD 50 CA (2004/07) © ACORD CORPORATION 2004
19445
National Union Fire Insurance Company of Pittsburg
New York, NY 10270
70 Pine Street
425-71-71
7/1/2021
7/1/2022
Leased or Rented
Arthur J. Gallagher & Co. Insurance Brokers of CA., Inc.
505 N. Brand Boulevard, Suite 600
Glendale, CA 91203
The Claremont Colleges Services
101 South Mills Avenue
Claremont, CA 91711-3910
432475
Leased or Rented
