CERTIFICATES OF INSURANCE
Auto Club South Insurance Company
~. P.O. Box 33011
: St. Petersburg, FL 33733-8011
1-800-884-4982
BFL 99.001 0201
0303055
11/09/01
FLOOD DECLARATIONS PAGE
535 08701 FLD RGLR Amended
General Property Form
EFFECTIVE: 5/31/01
Date of Issue
11/09/01
Insured
CRABBY BILLS
CLEARWATER BEACH RESTAURANT
1901 ULMERTON RD STE 750
CLEARWATER FL 33762-2326
Loan Number
CITY OF CLEARWATER
C/O RISH MANAGEMENT
PO BOX 4748
CLEARWATER FL 33758-4748
Insured Location (if other than above)
37 CAUSEWAY BLVD, CLEARWATER FL 33767
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Building Description Non-Residential
# of Floors Two Floors
Basement/Enclosure None
Community Name CLEARWATER.
Community # 125096
Community Rating 07 / 15%
Program Status Regular
Risk Zone A12
CITY OF
Condo Type N/ A
# of Units 0
Adjacent Grade 0
Elevation Difference 6-
Contents Location
it :.:~ I';:;:l ~~ fII-:
- . - - - -
BUILDING
CONTENTS
$220,000
$0
RECEIVED
Nf\V 1 5 ?n01
$5000
$0
$21,765.00
$.00
RISK MANAGEMENT
ANNUAL SUBTOTAL:
DEDUCTIBLE CREDIT:
ICC PREMIUM:
COMMUNITY DISCOUNT:
EXPENSE CONSTANT:
FEDERAL POLICY SERVICE FEE:
$21,765.00
$4,135.00
$35.00
$2,650.00
$50.00
$30.00
DEAR MORTGAGEE
The Reform Act of 1994 requires you to notify
the WYO company for this policy within 60 days
of any changes in theservicer of this loan,
The above message applies only when there is
a mortgagee on the insured location,
PREVIOUSLY PAID PREMIUM:
PREMIUM ADJUSTMENT:
ENDORSED TOTAL PREMIUM:
Premium paid by:
$15,095.00
$.00
$.00
Insured
Submit For Rate
This policy covers only one building, If you have more than one building on your property, please make sure they are all covered, See
III. Property Coveted within your Flood policy for the NFIP definition of "building" or contact your agent, broker, or insurance company,
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BFL 99.301 0999 1099 GFL 99.300B 0500 0500 BFLG99.100 1100 1200
^A A. . . _ Or ~l~ This policy is issued by
(Q (l.. t G ( tJ -frL "*' Cl ~ C- L E::12...~: CA. ~ I v ~ ; '-AAA
Copy Sent To: As indicated on back or additional pages, if any.
BFLD99.308 0-.
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Lender
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00020000941011142310131300005
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Auto Club South Insurance Company
I P.O. Box 33011 I
:_ St. Petersburg, FL 33733-8011 _
1-800-884-4982
BFL 99.0AC 0598
0303055
11/09/01
olicy Number
09 4101114231 00
535 08701 FLD RGLR
AAA Flood
Date of Notice
11/09/01
Insured
CRABBY BILLS
CLEARWATER BEACH RESTAURANT
1901 ULMER TON RD STE 750
CLEARWATER FL 33762-2326
Loan Number
CITY OF CLEARWATER
C/O RISH MANAGEMENT
PO BOX 4748
CLEARWATER FL 33758-4748
Notice of Revised Declarations
Dear Insured,
Pertinent information on your policy has recently changed. Consequently, we are issuing a
new declarations page for your records.
For an explanation of this change, please see the code(s) listed below and refer to the reverse
side of this page for theco(je defini tions.
Reason(s) for Revised Declarations Page
F03 F04
If this change is not correct, please contact your Agent.
00020000941011142310131300005
Lender
I
Change Reason Codes
F01. Payor of Pohcy Premium
F02. Insured Name
F03, Insured Maihng Address
F04. Property Address Correction
F05. Mortgage Addition
F06, Mortgage Deletion
FO?, Mortgage Updated (e,g" add loan #)
F08. Community Number Change
FOg, Zone Change
F10. Occupancy Type Correction
F11, Building Type (# of floors)
F12. Basement/Enclosure
F13. Condo Unit
F14, Course of Construction
F15. Elevated/Non-Elevated
F16. Contents Location
F1?, PRE/POST Firm (Date of Construction)
F18. Add/Delete Elevation Figures
F19. Add/Delete/Increase Building Coverage
F20, Add/Delete/Increase Contents Coverage
F21. Policy is no Longer Tentatively Rated
F22. Pohcy is no Longer Provisionally Rated
F23. Building Deductible
F24. Content Deductible
F25. Agent
F26, High/Low Rise Indicator
F2?, Policy Effective Date Change
I
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CllY CLb~1\ DEPARTMENT
From: Sarah Dietz To: Fax#4626957
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STAHL & ASSOCIATES
INSURANCE INC.
8200 SEMINOLE BLVD
SEMINOLE FL 33772
.....
CRABBY BILL'S CLEARWATER aCH
POBOX 25
INDIAN ROCKS BEACH FL 33785
Date: 7/24/01 Time: 12:44:00 PM
Page 1 of 1
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CBRTIFICATE HOLDER IS LISTED AS AN ADDITIONAL INSURED LANDLORD
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CITY OF CLEARWATER
MARINE DEPARTMENT
25 CAUSEWAY BLVD
CLEARWATER FL 33767
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CA'{AWBA INSURANCE COMPANY
FLOOD INSURANCE EXPIRATION t~VOICE
THIS FLOOD INSURANCE POllCY EXPIRED AT 12:01 A.M. ON: 5/31/2001
58 Policy#: 0130876900
. RECE: ED INSURED PROPERTY LOCATION:
37 CAUSEWAY BLVD
JUN 0 it ZO~1 CLEARWATER FL 34630
PAYOR IS: INSURED DATE ISSUED: 5/31/2001
~ LENDERNAME&MAIUNB~~NAGEIM[NT ~ AGENTIBROKERNAME&MAILINGAD. DRESS I
CITY OF CLEARWATER ALLEY REHBAUM & CAPES INC
C/O RISK MANAGEMENT 2433 GULF TO BAY BLVD
PO BOX 4748 1'~~ PO BOX 4620
CLEARWATER FL 34618 CLEARWATER FL 33758-4620
~ ~ ~27)797-5193 ~
Special Instructions: THE RENEWAL PREMIUM FOR THIS POLICY HAS NOT BEEN RECEIVED AS
OF THE EXPIRATION DATE SHOWN. INSURANCE COVERAGE FOR THE BENEFIT
OF THE MORTGAGEE ONLY WILL REMAIN IN FORCE FOR 30 DAYS.
*PREMIUM INCLUDES CRS DISCOUNT*
SEE REVERSE SIDE OF BILL FOR IMPORTANT MESSAGES
OPTION CURRENT COVERAGE OPTION INCREASED COVERAGE
COVERAGE DEDUCTIBLE PREMIUM COVERAGE DEDUCTIBLE PREMIUM
Building Building 1 Yr Building Building 1 Yr
220,000 5,000 $15,095.00 242,000 5,000 $16,072.00
_ . Conlenls Umients-- - --- .3Yr -Contents-- -. _ Contents - ------ .-3Yr
* NOT * * NOT *
AVAILABLE AVAILABLE
MAXIMUM COVERAGE AVAILABLE THROUGH
TIIE NATIONAL FLOOD INSURANCE PROGRAM:
BUILDING:
500,000
CONTENTS:
500,000
. . . . . A. . DETACH HERE . . .
THIS IS NOT A BILL
MORTGAGEE COPY
RETMN TOP PORTION FOR YOUR RECORDS
FLOOD INSURANCE EXPIRATION INVOICE
DETACH HERE . ....,..
POLICY #: 0130876900
OPTION A
COVERAGE
EXPIRATION DATE: 5/31/2001 DATE ISSUED: 5/31/2001
OPTION B COVERAGE
LOAN #:
ONE YEAR: $15 , 095 . 00 L ] Bldg 220 , 000
THREE YEAR: N / A [ ] Cont
Check desired coverage & return bottom section of notice
with check or money order made payable to:
CATAWBA INSURANCE COMPANY ---I
FLOOD INSURANCE PROCESSING CENTER
PO BOX 79091
BALTIMORE MD 21279-0091
ONE YEAR: $16,072.00 [ J Bldg
THREE YEAR: N I A [ ] Cant
242,000
INSURED NAME & MAILING ADDRESS
CLEARWATER BEACH SEAFOOD &
RESTAURANT INC
37 CAUSEWAY BLVD
CLEARWATER FL 34630
~1
RETURN WITH PAYMENT
DO NOT FOLD, STAPLE, OR WRITE BELOW mIS LINE
2495301308769004001509500004512600001607200004805600
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IMPORTANT MESSAGES
1.) A 30 DAY GRACE PERIOD IS A V A.ABLE TO ENSURE RENEWAL WITHOUT A I(APSE IN COVERAGE. PAYMENTS
RECEIVED AFTER THE GRACE PE-'OD WILL BE RENEWED WITH A LAPSE IN ~OVERAGE. COVERAGE WILL BE
EFFECTIVE 30 DAYS AFTER RECEIPT OF THE PREMIUM. IF MORE THAN 90 DAYS HAVE PASSED SINCE
EXPIRATION, A NEW APPLICATION MUST BE SUBMfITED.
2.) YOU ARE ENCOURAGED TO ENSURE THAT YOUR PROPERTY IS COVERED FOR AT LEAST 80% OF THE
REPLACEMENT COST OF THE STRUcruRE TO ENSURE ADEQUATE COVERAGE IS IN FORCE AT THE TIME OF A
LOSS. CONTACf YOUR INSURANCE REPRESENTATIVE FOR DETAILS.
3.) IF THE MORTGAGEE LISTED ON THE BILL IS NOT THE CURRENT MORTGAGEE, PLEASE FORWARD THE BILL TO
THE NEW FINANCIAL INSTITUTION (IF THEY ARE RESPONSIBLE FOR PREMIUM PAYMENT) AND HAVE A CHANGE
ENDORSEMENT SENT TO CORRECf THE POLICY.
4.) FOR POLICIES EFFECTIVE ON OR AFfER JUNE 1, 1997, ALL RENEWAL OPTIONS REFLECf THE PREMIUM CHARGE
ASSOCIATED WITH COVERAGE D, INCREASED COST OF COMPLIANCE; IF APPLICABLE. PREFERRED RISK
POLICIES, UNDER A CONDOMINIUM FORM OF OWNERSHIP DO NOT QUALIFY FOR THIS COVERAGE. IF THIS
POLICY IS A PREFERRED RISK POLICY AND IS UNDER THE CONDOMINIUM FORM OF OWNERSHIP, PLEASE NOTIFY
YOUR AGENT OR COMPANY REPRESENTATIVE TO UPDATE YOUR POLICY AND REDUCE YOUR PREMIUM.
5.) IF YOUR POLICY WAS PREVIOUSLY ISSUED WITijA $750 STANDARD DEDUCTIBLE, RECENT MANDATORY
CHANGES TO THE NATIONAL FLOOD INSURANCEifROGRAM REQUIRE THAT THE STANDARD DEDUCfIBLE BE
INCREASED TO $1,000. IF DESIRED, YOU MAY BUy BACK YOUR DEDUCTIBLE TO $500 FOR AN ADDITIONAL
AMOUNT OF PREMIUM. FOR ADDmONAL INFORMATION REGARDING THIS CHANGE OR TO OBTAIN A PREMIUM
QUOTE FOR THE DEDUCTIBLE BUY BACK, PLEASE CONTACf YOUR INSURANCE REPRESENTATIVE.
6.) IF THIS POLICY IS A PREFERRED RISK POLICY (PRP), PLEASE NOTE THAT THERE HAVE BEEN RECENT CHANGES
TO THE ELIGIBILITY REQUIREMENTS FOR THE PRP. IF THE FLOOD ZONE LISTED ON YOUR POLICY IS NOT
THE ZONE ON THE CURRENT FLOOD INSURANCE RATE MAP, YOU MAY NO LONGER BE ELIGIBLE FOR THE PRP.
PLEASE CONTACT YOUR INSURANCE REPRESENTATIVE TO VERIFY IF YOU ARE STILL ELIGIBLE FOR THIS
POLICY OR TO OBTAIN A QUOTE FOR A STANDARD POLICY.
IF PAYMENT HAS BEEN MADE, DISREGARD THIS NOTICE. THANK YOU.
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013087690024953