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OFFICIAL INSURANCE NOTIFICATION
OFt=ICIAL INSURANCE NOTIFICATIONS Mortgagee/ Additional Insured Copy only Please do not Disregard DO NOT SEND or make checks Davable to ELIOS Inc Page 1 of2 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 16342 - 285017 - 815 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 ELIaS at 925 973 0881x115 For all other policy questions: Please call the insurance company listed below. ******************* 3-DIGIT 337 CITY OF CLEARWATER PO BOX 4748 CLEARWATER, FL 33758-4748 1..11...11.1...1.1.1.1..1..1..11...1.1..11..1..1..11..1..1.1..1 Sincerely, Management at ELIOS, Inc. June 21, 2005 Some pages might have been left intentionally blank. Please match Total Notifications With this Document: 1 the No. of transactions printed on this page. Policy: 41-01114231-2005 Reason: Flood Insurance Revised Declaration Effective Dl. : 05/31/2005 Policy Eff. From: 05/31/2005 Policy Eff. To: 05/31/2006 M~1~g~~K~~~~~8f~Wurea:h' m".mum.. h..... Uh. h' U h'; 'In~~~:~'~'~;~~~h 'm m ." hhm, u, '.", 'U - Uh" 'm"", hh T~~og~t~~~~~.~.~~~ h. u..u _. _ _..'_ m PO BOX 4748 : CLEARWATER BEACH RESTAURANT CLEARWATER FL 33758 USA : PO BOX 99 . : INDIAN ROCKS BEACH FL 33785 USA: CLEARWATER BEACH FL 33767 USA -liisilr~lnce .ConfpaiiY':--..... U h'" m.......,.,.... -, -.. U...... -.... - h: -Carrier" -...., -.........,. u...... h" --... -.... -.. U'....,............ _.. ':[oaii Nc/' u....... _.... _ _.. _, _.. U __ _ _....... U Flood Processing Center : AUTO CLUB SOUTH : NO~~:~~ .~~~~.......... -. u." - - -, - -- - _MI - - -;;~~-Q~ - U - - J)~.A.. - - - U -- !-pr~ig~r2~'~~~~~,~ ~~-~-I~~-;~~ - - - _. - - -.. - - - - -- - - - -, - - - - - - - - h - -- - -, -- - t - EOd: No: - - -, - h - -,. - -- - - Ena: Sf' - h - -- - -. -- ; PO BOX 31087 : hL;;g':iD~~~~_mm-m..mm--mhhh__hh__mh_mh_mhmu: TAMPA FL 33631 USA: , , Flood Zone: A12 : Code: Phone No : 8008914222 : - - -co~~aae - - -- m - - - -- m -- - --" - - - -, - - -Uabilit\; _. - - - - -, - - - -, - -- - - -,. - - - -, - - - - -" - - _. - - - - -, - -- -- - - -- -, h - - - - - - - _ _ _ _ _, _ _ _" _ _ _ _, _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _" _ _ __ _ _ _ _ _. _ _ h__ _ _ _ _ _ _ _ _, _ _ _ _ _, __ _ _.'_ BUI '"9 220,000 Contents 0 - - -- - - - - - - - - - - -- - - -- - - - - - - - -- - - -- --- - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - ~ - - - - --- - - - - - - - - - - - - - - - - - - - -- - - - -- - - - - - -- - - - - - - - - - -- - - - - - - - -- - - - - - - - - - - - - - -- - - - -- - -- -- - - - - - - - - - -- - - - --- - - - - - - - - -. Deductible Clause1 5000 Deductible Clause2 0 Pavable To: This is not an Invoice/Bill Policy Type: Flood Insurance Premium Paid Amount: 19067.00 Increased Premium Amount: 0.00 RECE\\JEO jUM 2 ~ .2~OS O QnmAn\ Finance epI.\UP--..