NOTICE OF CANCELLATION OR NONRENEWAL OF GENERAL LIABILITY/EXCESS LIABILITY
Of
General
NOTICE OF CANCELLATION OR NONRENEWAL
I (Florida) I
Liability / Excess L'.2bility .
Crump E & S of Floirda
Casselberr FL 32707
KIND OF POLICY
CANCElLATION DR TERMINATION Will TAKE EFFECT AT,OATE OF MAILING
(DATE) (HOUR-STANDARD TIMEI
POLICY NO.
ISSUED THROUGH AGENCY OR OFFICE ATI
ML 241342
XXL 012357
12/14/88
INSURANCE MONTICELLO INSURANCE
COMPANY SCOTTSDALE INSURANCE
NAME AND
. ADDRESS
OF INSURED
WEST COAST WATER SPORTS, INC.
2273 Willow Tree Drive
Clearwater, FL 33576
(Specific Information concerning the cancellation
,or nonrenewal has been given to the Insured.)
TO LIENHOLDER:
12:01 AM
12/13/88
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- C.!IVED
QEC 15 1988
CIn CLERK
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You are hereby notified that the agreement under the loss Payable Clause payable to you as lienholder, which is a part of the above policy, issued to the above
insured, is hereby cancelled (or terminated) in accordance with the conditions of the policy, said cancellation (or termination) to be effective on and after the hour
and date mentioned above,
INSURANCE.
COMPANY
MONTICELLO INSURANCE
SCOTTSDALE INSURANCE
. ANGLER MOTEL
. 464 N. Gulfview Blvd.
Clearwater, FL 33515
NAME AND
ADDRESS
Of LIEN.
HOLDER
~.,. ""':' I ~,
GU 88171 (Ed. 11.83) ~W~"lfjIlI
CITY OF. CLEARWATER FLA.
A Municipal Corp.
P.O. Box,4748
Clearwater, FL 34618-4748
@ '983
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