MORTGAGE CLAUSE
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Date: 7 - 31 - 85
The ENCLOSURE
is for your records
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The enclosed contains a Mortgage Clause, or Loss Payable Clause
in your favor.
Owner:
CLearwater Beach Seafood, I nc.
Company and Policy No. Hartford I nsurance Company 21 UUCRB8476
TO
CLty of CLearwater
P.O. Box 4748
CLearwater, FL. 33518
Thank you, Pam Zeyak
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INSURANCE AGENCY INC.
L
620 BYPASS DRIVE
P. O. BOX 5025
CLEARWATER, FLORIDA 33618-4985
Phone: (813) 797,4499
T~: 229-8208
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POOR
ORIGINAL
The ENCLOSURE
is lor your records
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Date: 5-17-85
The enclosed contains a Mortgage Clause, or Loss Payable Clause
in your favor.
Owner: C Lea r w ate r Be a c h Sea f 0 0 d, I n c .
Company and Policy No. West AmerLcan I nsurance Company ACW9646347
r
Thank you, Pam Zeyak
~D~
CLty of CLearwater
10 P.O. Box 4748
CLearwater, FL. 33518
L
INSURANCE AGENCY INC.
620 BYPASS DRIVE P z
P. o. BOX 5025
CLEARWATER, FLORIDA 33618-4986
Phone: 18131 797,44sua
Tampe: 229,8208
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AUTOMOBILE INSURANCE..pOLlCY DECLARATIONS AND RENEWAL CERTIFICATE Bik. 04/29 000
",.ERl(.AN l!."A"l.E enl4)>A"; of The Ohio!sualtY Group Ofl";"ocec~~
RENEWAL PERIOD
BEGINS 12:01 A.M. EXPIRES 12:01 AM.
05/31/85 05/31/86
POLICY NUMBER ST, TERR, AGENCY
~~w 964 63 47 0 O~ 00 130~
NAME AND ADDRESS OF INSURED
AGENT
(.i...r:AkW..\flj, tH;;ACh .:r,i:AFuOu IN(.
37 CAUSLWAY BDVLtVARD
C.LrAklrU,.Il::::k boo 33515
AGENtY INC
ANY COVERED LOSS FOR DAMAGE TO YOUR AUTOMOBILE IS PAYABLE AS INTEREST MAY APPEAR TO INSURED AND,
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COVERAGE IS PROVIDED ONLY WHERE A PREMIUM AND A LIMIT OF LIABILITY IS SHOWN FOR THE COVERAGE
A PREMIUMS
BI = BODll Y INJURY PD = PROPERTY DAMAGE COI,l ~ .COlLlSION CAR 1 CAR 2
l.1"SI....Il.Y1NSURANC f l30ChOOe 8 100
HE.';O.'..IC....A.. t...............'.......A.. y,... t.'.:...NT. ..~.$5 000 10100
PHYSIC..Al;,O:AMA.GE ... I
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LOlLlSIO~ 10
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50100
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24100
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146.00
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THE TOTAL PREMIUM IS PAYABLE IN ADVANCE UNLESS A SPECIFIC SCHEDULE IS INDICATED BELOW:
ISSUED
UAJ t I....Uk
Ai-tUl,N 1 DlH;
05/&~
1.146.00
IN CONSIDERATION OF THE PAYMENT BY THE INSURED OF THE PREMIUM STATED ABOVE, THE COMPANY HEREBY RENEWS THE ABOVE DESCRIBED POLICY FOR THE POLICY PERIOD STATED ABOVE. THIS
CERTIFICATE IS DEEMED TO BE THE EQUIVALENT OF THE ISSUANCE OF A NEW POLICY FOR THE PERIOD DESIGNATED HEREIN, HAVING THE SAME TERMS WITH RESPECT TO THE COVERAGES RENEWED HEREBY AS
ARE EXPRESSED IN THE POLICY OF WHICH THIS IS A RENEWAL
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INSURED'S COPY
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LIBERALIZATION FEATURE
IF, DURING THE PERIOD SAID POLICY IS IN FORCE, THE COMPANY'S AUTOMOBILE POLICIES AFFORDING
SIMILAR INSURANCE ARE REVISED SO AS TO EXTEND OR BROADEN SUCH INSURANCE WITHOUT ADDITIONAL
PREMIUM CHARGE, SUCH EXTENDED OR BROADENED INSURANCE SHALL INURE TO THE BENEFIT OF THE
INSURED UNDER THE DESCRIBED POLICY AS AND FROM THE DATE SUCH EXTENDED OR BROADENED INSUR-
ANCE IS MADE EFFECTIVE BY THE COMPANY.
TEXAS-IF DURING THE PERIOD PRIOR TO THE EFFECTIVE DATE STATED IN THIS RENEWAL CERTIFICATE, THE
FORM OF THE POLICY RENEWED BY THIS CERTIFICATE WAS REVISED SO AS TO EXTEND OR BROADEN THE
INSURANCE AFFORDED WITHOUT THEREBY REQUIRING AN ADDITIONAL PREMIUM, THE INSURANCE AFFORD-
ED FOR THE POLICY PERIOD STATED IN THIS RENEWAL CERTIFICATE SHALLBE CONSTRUED IN ACCORDANCE
WITH THE PROVISIONS OF SUCH REVISION,
MICHIGAN- THE CURRENT EDITION OF FORMS WILL BE SUBSTITUTED ON RENE.WAL DATE FOR THE EARLIER EDITION IF CHANGED OR;ADOED
DURING THE PREVIOUS POLICY TERM
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AMEI\DATORY "rjLOESt:~":ENT - lIi.'Ili~TIO'\i OF C:OV':.~:AGC:
SPECIAL BPCi10 FORM COf'IPftEHG.SIV;;: Gl:'r:E'.P,t.L LL\8ILITY lNSUFA,\JC~
~HIS~ENDO~SE~ENT FOR~S A PART Of THE PGlleY NO. 21 UUC R~K476 ISSUED SY
THE HARTFORL INSURA!JCE GROUP COt'PI~f\Y DESIGtHITED THEREIN, ArE' TiI,KES EFFf::CT
AS OF THE EFFECTIVE DATE OF SAIG POLICY UNLESS ANOTHER ~FF~CTIVE CATE I~
STJ!.TED IN FORi" L-~E19.
IT IS AGREED TH~T FORM L-QS19 IS A~fNCEL TO DEL~TE THE ~ROVISIO~ OR
PROVISIONS OF SUCH FOR~ INDICATED BlLew 8Y THE ENTRY OF THE ~ORC HD[LET~G"
IN THE SOX OR 80XE3 NEXT TO THE CAPTIC~ OF ~UCH PROVISION OR PROVISION~$
FOP!" L-4819 SHALL -:-,C APPLIED AS IF THe:: PROVISIOI. OR PROVISIONS $0
IDENTIFIED ~ER[ NOT CONTAINED THEREIN.
PF:OVISION NO.
B0X
CAPTIONS OF PPOVISION~ SHOWN I~ FORr L-4819
IV.
XLX:.
(DELeTED) LIQUOR LI~BILITY COVERAGE
(DELETED) AMENDMENT OF CANC~LLATION CONDITION
FOf~ii: L-lti::-21-CT (;:.c. U2182) PHI!\;TE.O 1;1; L:.~'.A. WS)
CCPYl;IGH'l, Hr\RTFUkL FIRe Il\JSURA;~CE CCMPAIY, 1983
06/13/85 21 ULC RS847b (D~/31/b6)
P /: GEl. C
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,The ENCLOSURE
- is for your records
.
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R E eEl V E'}J
Date:
6-13-85
The enclosed contains a Mortgage Clause, or Loss Payable Clause
in your favor.
JUN 1 7 JPE~
Owner: CLearwater Beach Seafood, I nc.
Company and Policy No. NatLonaL FLood I nsurance Program FeJJJ17~~1
Thank ~ou, Pam Ze~ak
~D[;;j
I
CLt~ of CLearwater
TO P.o. Box 4748
CLearwater, FL. 33518
L
INSURANCE AGENCY INC.
620 BYPASS DRIVE
P. O. BOX 5025 P z
CLEARWATER, FLORIDA 33518,4985
Phone: (813) 797,4499
Tampa: 229-8208
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FEDERAL EMERGENCY MANAGEMENT AGENCY
FEDERAL INSURANCE ADMINISTRATION
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NATIONAL FLOOD INSURANCE PROGRAM
P,O, BOX 460
LANHAM, MD. 20706
800-638-6620
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POLICY RE"fVAL ,DECtARATIO~S
POLICY NU~8ER Fl2-0179-9?73-1
POLICY'TER" IS F~D" 05/31/85 TO '05#31186
12101 A."~ 'TIME IT TME INSURfO
PROPERTY LOCATIOM~
PAYO' IS_ INSURFD
1'fil1S~HIDaJjHDj'DD'i~~ J.~UIBD1JI'Re-aID~tDPlfi'~
At" INS A~CY INC
, tBOX 5025
CIEA~VATER Fl 33518
CLEARWATER 8CH SEAFOOD IHt
& CY OF CLEARWATER
37 CAUSEWAY eLYD
CLEARWATER FL 33515
vllEPHON~ (613J797-4499
lELEPHO'U:: 1813J '4,.3-3057
lAIIOU1.lDl.:.rSXPUljjE- 8UILDINC : - '1200.000 - CONTENTS' SO
}DIIlUg)mJJjlDlllllS~ BUnOJOu:f'u .S50l)u.."uu'COltTeltTSt,So--
ll~Bl!IlnUlifJJU11DJII)JID1POI111J~
BUILr;.]tofGtTVC FLCURSVITH NO BASE"ENT
"ON-RESIDEHTIAL NDTSftALl BUSINESS
tONlSf('St
lWlUJJUlj
'COlnm~ITY AREAt CLElRVJ\lER,CITY OF 'co'UtUNITY NU"BER' 12 "09~ I
REGUC/P PROQRAM- lONE :A1Z
8uItnl~GWAS CONSTRUCtED OR SUBSTANTIALLY I"p~nYf.D AFlER 12/31/7,.
;EhEVN1IONI loveST flODR- SASE ,FLOOD · DJfFERENCE 'TO NEAREST POOT
.5.5 '+10~O. ~,.
'UIlnl~G ~NucrW'ENTS'COYERAGf IN
** l~* ** B.SJC.'. i* ,.'...
crtERAGE RilE 'REIIIU"
BtDtt 100,000 X 3.'0. '$1.508.00
CO"t.~ ~>o 'X ,5.10--~-- -.....,ec
fORCE
I" i. . ..ADOITlONAL * .. . ..
COVERAGE RATE PREMIUM
100.000'X 2.~5. '2,458.00
'o:x_u~- -$0.00
'TOTAL
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,S5,9".00
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)1IDIB1~lDUIB~~
ANNUAL SUBTOTALI ,$5.95..00
1001) 'Rf."IUft OIsccuttYI - 'S.DO
'FXPENSf. CONSTANTa '$20.00
'TOTAL PRE"tUM PJIOI $'.918.00
,37 CIVSrWAY BLVe
CLEA~t"ER FL ,33515
;~BDB'~)JjlaJ'IDJjDDIIJ1
"'o!'tf. DfCLAR~D
593-093, NOV 84
.lUI.1.,.-l.":,,,. EM/I.f~rrT)i~.a.Q..NOV 84
'TH~SE ~~~IrN~ ARE lS OF r, U4, ya,
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NOTICE: The terms of the enclosed Standard Flood Insurance Policy have been amended, effective October 1,
1984. Since the new policy represents the coverage provided to you by the National Flood Insurance Program
(NFIP), the following new coverage provisions are being brought to your attention.
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Thf si~n~c~nt changes to the flood insurance policy are summarized below:
1. ,.' Sandbags: Under Dwelling Form and General Pr'operty Form policies which provide building coverage,
the NFIP will pay for sandbags, the sahd used in the sandbags, and plastic sheeting and lumber used in the
sandbagging process. Under the Dwelling Form, insureds will also be reimbursed for their own labor at the
prevailing Federal minimum wage rates. The amount of coverage for sandbags is limited to the standard
c;leductible amount ($500).
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Coverage for sandbags is proVided under the following conditions:
a,
the insured property must'be in imminent danger of sustaining flood damage; and
b.
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the threat of flood damage mUllt be of such imminence as tp lea.da person of common prudence
to apprehend flood damage; and
c.
flooding must occur in the area or a legally authorized official must issue an evacuation or
lIimilannrder to protect lives and property from flooding.
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2. Cancellation oCThree- Year Policies: Thr~Year Dwelling Form EJ.nd General Property policies can be
cancelled on an interim anniversary dat~~ovided:
a. other flood insurance has been obtained or is being obtained to replace the NFIP policy. (In this
case, the mortgagee must provide written agreement to the substitution of the new policy for the
NFIP policy.) OR
b. the insured has extinguished the mortgage debt and is no longer required by the mortgagee to
maintain coverage. .
Appropriate refunds will be made for the above cancellation reasons.
3. Other Insurance Clause: The Other Insurance Clause of the Dwelling Form policy has been rewritten to
correspond to the Other Insurance Clause of the General Property policy.
4. !:.
Condomirlittm Unit Owner Coverage: The Dwelling Form has been amended to reflect that the policy
provides coverage to the owners of condominium units and to make clear that the unit owner's coverage-
,. including any coverage to which the unit owner may be entitled under any condominium association
. policy-cannot exceed the amount allowed single family homeowners under the National Flood Insurance
" Act of 1968.
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Insurance coverage and premium are based on the description of the property contained on your current
insurance policy. Review the computer printed Policy Declaration page to make sure the information is correct.
Your insurance protection can be jeopardized if you have made alterations or substantial improvements to your
building which are not reflected on the policy and which are in violation of your community's flood plain
r management ordinances. This includes such modifications as changing an unfinished basement into a totally or
"'partiallyTinished basement with more than twenty liriearfeet of finished walls or equipping it for use as a kitchen
J for habitable or business area, or enclosing an area beneath the lowest floor of an elevated building. (See Article
VII, Section F of Dwelling Form; Section E of General Property Form.)
Contact your insurance agent about any changes so that the appropriate endorsement can be submitted to
protect your insurance coverage. If you have any questions about the new policy changes, please see your local
'insurance agent.
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The FIpod Insurance Program is a Federal Program. Willful misrepresentation of information by the insurance
. ,applic,nt or insurance agent is a criminal offense punished by imprisonment, fine or both.
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