CERTIFICATE OF INSURANCE AND NOTICE OF CANCELLATION TO A THIRD PARTY
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[US-'Home@]
u.s. HOME CORPORATION
1177 West Loop South
Box 2863 · Houston, Texas 77001
REef/VE/J
JAN 1"
. ~ 1980
Cl~~
January 7, 1980
City of Clearwater
P. O. Box 4748
Clearwater, Florida 33518
Ref: US Home/Mortgate Division,
ComprehensiveD.D.D. Policy
Gentlemen:
Per your request of October 11, 1979 directed to James Dean,
attached is the requested Certificate of Insurance and Notice
of Cancellation to a Third Party.
Sincerely,
~!~.
Roger K. Gruenwald,
Risk Manager
RKG:lj
Attachment
Copy - Maurice Morset
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ENDORSEMENT NO. 520
NOTICE OF CANCELLATION TO A THIRD PARTY
*Effective from
1 0-11-79
T-CDA-151T629-7-79
at the time of day the policy became effective. Amending Policy No.
*Issued to
US HOME CORPORATION ETAL
12-04-79
(-The information marked with an asterisk is required to be stated only
when this endorsement is issued for attachment to the policy subse-
quent to its effective date.)
* Date of Issue
In consideration of the premium charged for the attached policy, it is agreed that:
I. The attached policy is hereby amended by adding. to the Section thereof providing for cancellation or termination of such policy
as an entirety an additional paragraph as follows:
"No cancellation or termination of this policy, as an entirety, whether by or at the request of the Insured or by the Company,
shall take effect prior to the expiration of
10
BY REGISTERED MAIL
days after written notic/of such cancellation or termination has
been filed with
CITY OF CLEARWATER
P.O. BOX 4748
CLEARWATER FL 33518
unless an earlie~ date of such cancellation or termination is approved by said
CITY OF CLEARWATER
2. The attached policy shall be subject to all its agreements, limitations and conditions except as herein expressly modified.
THE TRAVELERS INDEMNITY COMPANY
The foregoing is hereby agreed to , ad accepted:
Insured
Countersigned by ,
Title
5-236 REV, 2-70 PRINTED IN U.S.A.
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SR- 5083
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T:HE TRA-VELERS
Casualty-Property Department
DEC. 4, 1979
CERTIFICATE OF INSURANCE
THIS IS TO CERTIFY THAT THE POLICY OF INSURANCE DESCRIBED BELOW HAS BEEN ISSUED
TO US HOME CORPORATION
1177 WEST LOOP SOUTH
HOUSTON TX 77001
AND IS IN FORCE AS OF THE DATE OF THIS CERTIFICATE. THE COMPANY ASSUMES NO
RESPONSIBILITY TO NOTIFY THE ADDRESSEE IN THE EVENT THAT THE POLICY IS CHANGED
OR CANCELED AS TO ANY EMPLOYEE OR IN ITS ENTIRETY.
COVERAGES FOR WHICH
INSURANCE IS AFFORDED
LIMIT OF
LI AB I LI TY
POLICY
NUMBER
T-CDA-151T629-7
EFFECTIVE
DATE
COMPREHENSIVE 0.0.0. POLICY $5,000,000
FORM A $100,000 OED
11-01-77
THE INSURANCE AFFORDED IS SUBJECT TO ALL THE TERMS OF THE POLICY, INCLUDING
ENDORSEMENTS, APPLICABLE THERETO. THE POLICY IS FOR THE SOLE BENEFIT OF THE
INSURED AND DOES NOT BESTOW UPON ANY OTHER PERSON OR ORGANIZATION ANY RIGHTS OR
BENEFITS.
THE,~RAVELERS INDEMNITY COMP
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BY
tJ
THE TRAVELERS INSURANCE COMPANIES . ONE TOWER SQUARE . HARTFORD, CONNECTICUT 06115