MORTGAGEE-ADDITIONAL INSURED NOTIFICATIONIMPORTANT: Mortgagee /Additional Insured Notification
You are receiving this notice through a service called
NoticeXChange. Inside this mailing are notices for multiple
insurance carriers. Please see the instruction section for
additional information.
11/13/2013
1426 -662
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CITY OF CLEARWATER
PO Box 4748
Clearwater, FL 33758 -4748
The notification(s) below show what action (indicated in the
Reason) that was taken by the 'Carrier' shown. Please see
the Policy, Eff From, Property, or Premium Amt fields below
to obtain specific details pertaining to each notice.
Instructions:
1) For Reason: Renewal Bill please remit payment to the
company listed in the 'Payable To section, check
the 'Payment Enclosed' box, and remit the 'Amount Due'
by the 'Due Date indicated.
2) Please contact the insurance carrier or agent/producer
if you are no longer the additional insured or loss payee.
3) Contact NoticeXChange by EMAIL at
Info @NoticeXChange.com or phone at
1(800)372 -7983 to change your mailing address.
4) We welcome your suggestions regarding our form. If
you would like to receive future notifications
electronically please let us know at
Info@NoticeXChange.com.
Total Notifications With this Document: 1
Policy:
Insured:
Property:
Bldg. Desc.:
-m Loan No
Premium Amt.:
87- 05143624 -2013
Cani; Fatmir
1370 Tuscola St Clearwater, FL 33756
Reason:
$429.00 Incr. Prem. Amt.: $440.00
Carrier/ Old Dominion Insurance Company
Payable To PO Box 2057 Kalispell MT 59903 USA
Producer: Phone: 7274615454
United Underwriters Inc
1231 Lakeview Rd Clearwater, FL 33756
f3 Mortgagee: CITY OF CLEARWATER
ISAOA
PO BOX 4748
CLEARWATER, FL 33758 -4748
Renewal Notice Lender Copy
RCV: $1 13,000 Grandfathered: N
Coverage
Building
Increased Build
Policy Eff From:
(800) 637 -3846
Policy Type: Flood
Ded. Clause:
Coverage Amount Coverage
113,000 Contents
124,300 Increased Con
1 2/28/201 2 Eff To:
1,000 1,000
Coverage Amount
56,500
59,300
1 2/28/201 3