NOTICE OF CANCELLATION OF INSURANCE
JAN-19-2001 08:38 CITY ATTORNEY'S OFFICE
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< PO.Box 2004
, Kee"!e, New Hampshire cb431
7275624021 P.01/02
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NOtICE OF CANCELLATION
AG~T: 090168 STATE: 09
AGENT PHONE: 727 595 2529
PLEASE READ CAREFULLY
POLICY NUMBER POLICY TYPE
BPG15254 BUSN OWNER
CANCELLATIOHIHOft-RENEWAL EFFECTIVE TOTAL DUE
Pm DAY YR
01/29/01 12:01 A.M. $228.50
MIN. DUE
$228.50
DATE OF HAILING: 01/11/01
P 102 196 196 F/CM
MORTGAGEE/LIENHOLDER CACG15~54
CITY OF CLEARWATER
112 SOUTH OSCEOLA AVE.
CLEARWATER, FL 33756
ANY EXCesS PRENIUN (IF NOT TENDERED] WILL BE REFUNDED ON DEMAND
INSURED
PICKLES PLUS TOO INC
320 CLEVELAND STREET
CLEARWATER, FL 33758
***IMPORTANT INFORMATION REGARDING YOUR INSURANCE***
DEAR POLICYHOLDER: - YOUR 'BUSINESS IS IMPORT'ANT TO U'S! -
HOWEVER, OUR RECORDS INDICATE THAT WE HAVE NOT RECEIVED YOUR PAYMENT
DUE 12/31/00. IF WE DO NOT RECEIVE PAYMENT, YOUR POLICY WILL BE
CANCELLED ACCORDING TO POLICY PROVISIONS ON THE CANCELLATION/NON-
RENEWAL EFFECTIVE DATE AND TIME SHOWN ON THIS NOTICE.
TO PREVENT THIS FROM HAPPENING, PLEASE FORWARD THE MINIMUM DUE SHOWN
ABOVE WITHOUT DELAY. THIS MINIMUM PAYMENT INCLUDES THE PAST DUE
AMOUNT, YOUR NEXT SCHEDULED INSTALLMENT, AND ALL APPLICABLE SERVICE
FEES. THIS WILL BRING YOUR ACCOUNT UP TO DATE. AS LONG AS YOUR
MINIMUM PAYMENT IS RECEIVED BEFORE THE CANCELLATION/NON-RENEWAL
EFFECTIVE DATE AND TIME SHOWN ON THIS NOTICE, YOUR COVERAGE WILL
CONTINUE WITHOUT INTERRUPTION.
A REINSTATEMENT NOTICE WILL BE SENT TO YOU WHEN WE RECEIVE YOUR
PAYMENT. REINSTATEMENTS ARE CONDITIONAL UPON BANK ACCEPTANCE OF
PAYMENTS BY CHECK.
WE HOPE THIS REMINDER WILL PREVENT A LAPSE IN YOUR COVERAGE. WE
VALUE OUR RELATIONSHIP WITH YOU. IF YOU HAVE ANY QUESTIONS, PLEASE
CONTACT YOUR AGENT AS SOON AS POSSIBLE.
J' AN') ",1 ')fin.;
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RECEIVED
JAN t8 2061
CITY ATTORNEY
_E_CEIVED
JAN 1 7 2801
-R'Ec::rV-ED
CITY CLERK DEPARTMENT
HOUSING IJCJ uiiii... ~UEHT
CITY M ClF.J.RWAT9
IMPORTANT: STATE RE6UlATIONS~ IF ANY APPlY~ ARE ON REVERSE SIDE
&0-7622 ClO/9Z) MORTGAGEE COPY
P'-,("EiVED
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Fax _
Pax_
LAN 1 9 ?001
HISf<. i\il!Or~AGEMENT
JAN-19-2001 08:39
CITY ATTORNEY'S OFFICE
7275624021
P. 02,/02
I
I
IMPORTANT INFORMATION
Concerning Your "otor Vehicle Insurance
If the motor vehicle insurance policy being cancelled or nonranewed Drovides oersonal injury
protection benefits and property damage liability insurance, Florida law reauires that we
report such action to the Department of Highway Safety and Hotor Vehicles within 45 days
from the effective date of the cancellation or nononrenewal.
Failure ~o maintain personal injury Drotection and property damage liability insurance on a
motor veniele when reauired by law may result in the loss of your motor vehicle re~istration
and driving ~rivile~es in this state. Should your registration and driving privileges be
'suspended, the following fee will be charged for the reinstatement of your motor vehicle
registration and/or driver's license (if both your registration and license are suspended,
onlY one reinstatement fee shall be charged to reinstate the registration and license):
$150 - first reinstatement
$250 - second reinstatement
$500 - each subsequent reinstatement during 3 years following the first reinstatement.
If ~ou do not have a second reinstatement within 3 years after the initial reinstatement,
the reinstatement fee will be $lSO for the first reinstatement after that 3 ~ear period.
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RECEIVED
JAN 1 9 !001
lilCJI\. !'v1/\NAGEMENT
TOTAL P. 02