NOTICE OF CANCELLATION (6)NOTICE OF CANCELLATION
Ascendant Commercial Insurance, Inc.
P.O. Box 260490
Miami, FL 33126
DATE: 9/10/2013
CITY OF CLEARWATER
P.O BOX 4748
CLEARWATER, FL 33758
POLICY NUMBER: FH- 22087 -0
POLICY EFFECTIVE DATE: 04/20/2013
CANCELLATION DATE: 09/22/2013
Insured Name and Address
BLACK CAR GLOBAL TRANSPORTATION
LLC
2655 ULMERTON ROAD
STE -217
CLEARWATER, FL 33762
You are hereby notified in accordance with the terms and conditions of the above mentioned Policy that your Insurance
will cease at 12:01 A.M. on the date shown above.
If your state has a(an) BUSINESS AUTO Insurance Plan or Fair Plan, for information regarding your eligibility please
contact your agent.
You are permitted by law to appeal this cancellation. An appeal must be filed no later than 20 days before the effective
date of cancellation set forth in this notice. The Office of Insurance Regulation does not have the authority to extend the
effective date of cancellation; therefore you should obtain replacement coverage prior to the effective date of cancellation.
Florida Automobile Joint Underwriting Association Information: You have been notified herewith that this Company does
not desire to carry your automobile insurance any longer. You are possibly eligible for automobile insurance through
another insurer or through the Florida Automobile Joint Underwriting Association Information. For further information
please consult your agent. This notification of availability of the Florida Automobile Joint Underwriting Association
Information is given pursuant to the provisions of § 627.728, FS.
Reason(s) for CANCELLATION:
Non - Payment of Premium
Failure to maintain Personal Injury Protection and Property Damage Liability insurance on a motor vehicle when required
by law may result in the loss of your motor vehicle registration and driving privileges in this State. Should your
registration and driving privileges be suspended, the following fee will be charged to reinstate the registration and license:
$150 for the first reinstatement, $250 for the second reinstatement and $500 each subsequent reinstatement during the
three years following the first reinstatement.
If you do not have a second reinstatement within the three years after the initial reinstatement, the reinstatement fee will
be $150 for the first reinstatement after a three year period.
ACI TX -NOC (11 -09)
(Authorized Representative)
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