NOTICE OF REINSTATEMENT (11)Ascendant Commercial Insurance, Inc.
P.O. Box 260490
Telephone: (305) 820 -4360 Fax: (305) 820 -4348
MAIL TO:
CITY OF CLEARWATER
P.O BOX 4748
CLEARWATER, FL 33758
Insured
MAGDY SHENOUDA
2476 ENTERPRISE RD
UNIT - 4
CLEARWATER, FL 33763
DATE:10129/2013
NOTICE OF REINSTATEMENT
RECEIVED
012013
Cd-s IC -.L RECUZDS AND
LEG SLATAVE S:RVCS DEFT
Broker
MELISSA EMS INSURANCE AGENCY, INC.
2942 49TH STREET NORTH
SAINT PETERSBURG, FL 33710
Phone: (727) 321 -9828
Fax: (727) 321 -5105
POLICY NUMBER: FH- 22256 -0
TYPE OF INSURANCE: COMMERCIAL AUTO
REINSTATEMENT EFFECTIVE DATE: 11 /6/2013 (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.
INSURED [ ]
ML -003 (09 -09)
(Signature of Authorized Representative)
LIENHOLDER [ 1 ADDITIONAL INSURED [X] PRODUCER [ ]
COMPANY [ ]