POLICY CHANGE (2)LexisNexis /FIRSt
PO Box 10680
Peoria, IL 61612 -0680
IMPORTANT:
INSURANCE COVERAGE NOTIFICATION(S)
1111111 11111 0111 1101 0111 0111 110 111111 0111 11111 0111 0111 0111 1111 111111 1111 011111111 1111
728616- 285017 -1 -M 03873 S1 /M
CITY OF CLEARWATER
PO BOX 4748
CLEARWATER, FL 33758 -4748
111111111111111111111111111"11111111111111111111111111 11'1111
Total Property Notifications with this Document: 2 June 17, 2013
LexisNexis is not the Insurance Company.
Do not send premium payments to LexisNexis /FIRSt.
- For any and all policy changes you must contact. the Insurance
Company, Carrier, or Producer listed in the detail below.
- For all cancellation, non - renewal, expiration, and lapse notices -
all coverage will cease at 12:01AM local time at the premises,
unless otherwise shown in the item detail provided.
- Premium Bill and Renewal Bill items require action on the part of
the Loss Payee /Mortgagee listed.
- If you want to receive future notifications electronically, email
firstsupport@lexisnexis.com.
- This Insurance notice is sent to you as the Loss
Payee /Mortgagee /Additional Interested Party on behalf of the
carrier listed.
Notifications may print on back of page and on subsequent pages.
Policy: PIH0291191 REASON: Policy Change
Insured: TURMAN MAX -1329 WOODBINE ST- CLEARWATER -FL -33755
Mortgagee /Add.Party: CITY OF CLEARWATER -PO BOX 4748 - CLEARWATER -FL -33758
Insurance: Tower Hill Signature Insurance Company -PO Box 147018 - Gainesville -FL -32614
Producer: EAST BAY INS AND FIN SERV LLC -3690 E. Bay Drive #D- Largo -FL -33771 727.535.4603
Prop. Loc: 1329 WOODBINE ST- CLEARWATER -FL 33755
Loan #:000 Legal Desc: 1329 WOODBINE ST CLEARWATER
Coverage Coverage Amt Coverage
Dwelling 157,000 Other Structures
Flood 0
FIRSt Id: -I15- 285017- 172147120
Carrier: Tower Hill Signature Insurance Company
Pol. Type: Homeowners
Eff. Dte: 05/14/2013
Pol. From: 06/29/2012Pol. To: 06/29/2013
PremiumAmount: 0.00
Ded. Clausel &2: 500 2%
Coverage Amt
3,140 This is not an Invoice /Bill
Policy: PIH0291191 REASON: Policy Change
Insured: TURMAN MAX -1329 WOODBINE ST- CLEARWATER -FL -33755
Mortgagee / Add.Party: CITY OF CLEARWATER -PO BOX 4748 - CLEARWATER -FL -33758
Insurance: Tower Hill Signature Insurance Company -PO Box 147018 - Gainesville -FL -32614
Producer: EAST BAY INS AND FIN SERV LLC -3690 E. Bay Drive #D- Largo -FL -33771 727.535.4603
Prop. Loc: 1329 WOODBINE ST- CLEARWATER -FL 33755
Loan #:000 Legal Desc: 1329 WOODBINE ST CLEARWATER
Coveraae Coveraae Amt Coveraae
Dwelling 157,000 Other Structures
Flood 0
FIRSt Id: -115- 285017- 172152578
Page 1 of 1
Carrier: Tower Hill Signature Insurance Company
Pol. Type: Homeowners
Eff. Dte: 06/30/2013
Pol. From: 06/29/2013Pol. To: 06/29/2014
PremiumAmount: 0.00
Ded. Clausel &2: 500 2%
Coveraae Amt
3,140 This is not an Invoice /Bill