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State Farm Mutual Automobile Insurance Company <br />PO Box 2358 <br />Bloomington IL 61702-2358 <br />AT2 A-1EFE <br />GARRISON, DIANA YVETTE <br />2150 PORTOLA AVE STE D PMB 160 <br />LIVERMORE CA 94551-1793 <br />Policy Number: 414 5475-F29-05A <br />Policy Period : December 29 , 2025 to June 29 , 2026 <br />Vehicle: <br />2011 LEXUS RX 450 HYB <br />Principal Driver: <br />DIANA Y GARRISON <br />A <br />Notice of insurance information collection practices - <br />personal, family, or household insurance transactions: <br />We may collect customer information from persons other <br />than the individual or individuals applying for coverage. <br />Such customer information as well as other personal or <br />privileged information subsequently collected may, in certain <br />circumstances , be disclosed to third parties without your <br />authorization as permitted by law. <br />Policy Number: 414 5475-F29-05A <br />Prepared November 6, 2025 <br />1004583 <br />A State Farm <br />AUTO RENEWAL <br />PREMIUM PAID: $699.30 <br />DO NOT PAY. <br />Your premium is billed through the State Farm Payment Plan <br />State Farm Payment Plan Number: 1064015202 <br />Your State Farm Agent <br />MARCY GUTIERREZ INS AGENCY INC <br />Office: 925-449-3500 <br />Address: 509 N L ST <br />LIVERMORE , CA 94551-2807 <br />If ,ou have a oow or different car, have added any drivers, or have moved, <br />please contact ,our agent. <br />Thank you for choosing State Farm. <br />You have the right to submit a written request to access, <br />correct, amend, or delete your personal information and the <br />right to receive a response within 30 days of submitting your <br />request. If we deny your request , you have the right to file a <br />statement with us containing the information you feel is <br />accurate and fair along with the reasons you disagree with <br />our denial. Instructions on how to file such request and our <br />full privacy notice can be found <br />(continued on next page) <br />Page number 1 of 5 <br />143562 202 01-15-2018 <br />Thanks for being part <br />of our neighborhood. <br />You mean a lot to us. If you need anything, <br />ca 11 State Fa rm® Agent MARCY <br />GUTIERREZ INS AGENCY INC at <br />925-449-3500. <br />TP31 <br />Docusign Envelope ID: B1A2B84F-219F-40B7-B41B-2FF5FEF8647B