NOTICE OF REINSTATEMENT (3)Ascendant Commercial Insurance, Inc.
P.O. Box 260490
Telephone: (305) 820 -4360 Fax: (305) 820 -4348
NOTICE OF REINSTATEMENT
MAIL TO:
CITY OF CLEARWATER
P.O BOX 4748
CLEARWATER, FL 33758
Insured Broker
BLACK CAR GLOBAL TRANSPORTATION LLC
2655 ULMERTON ROAD
STE -217
CLEARWATER, FL 33762
DATE:07/24/2013
BULLINGTON INSURANCE GROUP, LLC
1448 WEST BUSCH BOULEVARD
TAMPA, FL 33612
Phone: (813) 248 -6800
Fax: (813) 248 -6877
POLICY NUMBER: FH- 22087 -0
TYPE OF INSURANCE: COMMERCIAL AUTO
REINSTATEMENT EFFECTIVE DATE: 8/3/2013 (12:01 AM STANDARD TIME)
You are hereby notified that the above policy for the above Insured which had been cancelled is hereby reinstated
as of the above Effective Date and that Policy remains in force as originally written.
(Signature of Authorized Representative)
INSURED [ ] LIENHOLDER [ ] ADDITIONAL INSURED [X] PRODUCER [ ] COMPANY [ ]
ML -003 (09 -09)