RENEWAL NOTIFICATIONLexisNexis is not the Insurance
Company.
For any and all policy changes you
must contact the Insurance Company,
the Carrier or the Producer listed in
the detail below.
If you are not the intended recipient,
please return this card.
IMPORTANT: INSURANCE COVERAGE NOTIFICATION(S)
LexisNexis is not the Insurance Company.
Do not send premium payments to LexisNexis /FIRSt.
RECEIVED
OCT 5 2013
OFFICIAL RECORDS AND
LEGISLATIVE SRVCS DEFT
778005- 285017 -1 -M
LexisNexis /FIRSt
Mail Drop 81/290 -W
1000 Alderman Dr
Alpharetta, GA 30005
Place
Stamp
Here
-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 12:01 AM local time at the premises, unless otherwise
shown in the item detail provided.
-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.
Eff. Dte: 11/26/2013
Pol. From: 11 /26/2013Po1. To: 11/26/2014
Loan #: 1612
Ded. Clausel &2: 1,000 3,140
Policy: MUH1007492 REASON: Renewal Notification
Pol. Type:Homeowners
Carrier: Modern USA
Prop. Loc: 2080 SUN DOWN DR- CLEARWATER -FL 33763
Insured: GRAY; RAPHAEL -2080 SUN DOWN DR- CLEARWATER -FL -33763
MortgageelAdd.Party: CITY OF CLEARWATER ISAOA ATIMA HOUSING DIVISION -PO BOX 4748 - CLEARWATER -FL -33758
Insurance: West Point Underwriters -PO Box 2800 - Pinellas Park -FL -33780
Producer: Eddie Passmore & Associates -2203 N Hercules Ave - Clearwater -FL -33763 727.210.0522
Coveraae Amt Premium Amount: 1,161.00
78,500
15,700
3,140
Included
Coveraae
Dwelling
Liability
Med Pay
Sinkhole Coverage
Ordinance or Law Coverage
Notes: Standard Homeowners
Coveraae Amt Coveraae
157,000 Contents
100,000 Loss of Use
1,000 Other Structures
Excluded Wind & Hail
15,700
Plan FIRSt Id: 12957 -129- 2918189- 186127818