NOTICE OF NON-RENEWAL OF INSURANCE
AMERICAN AUTOMOBILE INSURANCE COMPANY
400 NORTHWINDS CENTER WEST
11605 HAYNES BRIDGE ROAD, SUITE 200
ALPHARETTA GA 30004-2133
NOTICE OF NONRENEWAL OF INSURANCE
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Named Insured & Mailing Address:
Producer: 09490244
HEAD START CHILD DEVELOPMENT &
FAMILY SERVICES, INC.
6698 68TH AVENUE N., STE D
PINELLAS PARK FL 34665
NOV 0 5 2002
LUPFER-FRAKES INSURANCE
CITY (:,' :,.lENl
222 CHURCH STREET
KISSIMMEE FL 34741-5004
Policy No.: MXG80787643
Type of Policy: PORTFOLIO INCLUDING AUTO
Date of Expiration: 01/01/2003; 12:01 A.M. Local Time at the mailing address of the Named Insured.
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We are nonrenewing this policy. Coverage will cease on the Expiration Date shown above.
Our records indicate you are an "Insured" or other party of interest under this policy. This is your
notice that the named insured's coverage under this policy is being non renewed on the Expiration Date
indicated in the above box.
Mortgagee/Lienholder
MXG80787643
CITY OF CLEARWATER RISK MGMT
POBOX 4748
CLEARWATER FL 33758
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Date Mailed:
30th day of October,2002
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Authorized Company Representative
ODEN3.0.02,06a
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Copy for Mortgagee/Lienholder
FLCN36NONE APP
10292002MYN
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