CERTIFICATE OF INSURANCE (14)
Page 1 of2
OFFICIAL INSURANCE NOTIFICATIONS
Mortgagee/ Additional Insured Copy only
Please do not Disregard
DO NOT SEND or make checks Davable to ELIOS Inc
To Whom It May Concern:,
On behalf of our clients, we hereby notify you of the following
changes mentioned in the "Reason section" below in the
policies listing you as Loss Payee.
printmail@elios.us
12409 - 489746 - 2564
If you are a financial institution and wish to receive
these notifications electronically, please email us at
support@elios.us.
If you have received this in error please contact ELIOS
at 925 973 0881x115
For all other policy questions: Please call the
insurance company listed below.
City of Clearwater
274] State Road Ste 580
Clearwater, FL 3376]
Sincerely,
Management at ELIOS, Inc.
April 07. 2005
Total Notifications With this Document:
Policy: 41-01114231-2005 Reason: Flood Insurance Renewal Notice - Lender Copy
M~7~g~fi'L~~~~~1Wurea:mHH - - ____H_m___ - - - - _noon n_ -Inif~~~~~-I~-~~-- - -- - - - - - - - - -- mm -- -- -----
PO BOX 4748 CLEARWATER BEACH RESTAURANT
CLEARWATER FL 33758 USA PO BOX 99
. INDIAN ROCKS BEACH
_mn________ mn-----~Tarrier-:----- -.--- ________n_
. AUTO CLUB SOUTH
Some pages might have been left intentionally blank. Please match
the No. of transactions printed on this page.
Pol;CYEff. From: 05/3112004- PoliCY Eft'. To: 05/311:2005
---- - - _n - - - - - - - - - - - - --i~~o~~J~~~~~~~~-~- -- - -- - - - - - - -- - - -- - - -----
_____fL_ n33185n
USA ____~fJa~~~WATERBEAGI:t-- __-"J__337~7 _USA_
-lnsiirfince -CDrTlpan~'-:" - - - - --
Flood Processing Center
PO BOX 2057
__--'<;glil>p.~1j m_________n
Notes:
___MI.._ __~9Jl.Q3
_l,J~1'. :-Prooucer: n___n_______ mmm_m_
_mn_' STAHL & ASSOCIATES INS INC
8200 SEMINOLE BLVD
SEMINOLE
Code:
nn:---Ena:No ---n-m-----Ena:-Sf-
Legal Desc:
Flood Zone:
FL
33772
USA
A12
Phone No :
8008914222
--~~~~~~e mnmn_________ g~8~~~~-
Contents 0
Increased Building Coverage 242,000
Increased Content Coverage 0
Deductible Clause1 5000 Deductible Clause2
Pavable To: This is not an Invoice/Bill
o
Policy Type: Flood Insurance
Premium Amount
Increased Premium Amount:
19067.00
20171.00
RECEIVED
APR 182005
RISK MANAGEMENT
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