NOTICE OF REINSTATEMENT (13)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
TED REMAK
975 EL DORADO AVE
CLEARWATER, FL 33767
NOTICE OF REINSTATEMENT
DATE:01 r' 12/2014
RECEIVED
JAN 15 2014
G 7FICM.-CO1DDS°
LEGISLATIVE TIVE S VCS DEF
Broker
BEST RATE INSURANCE AGENCY, INC.
8600 NW 17TH STREET # 170
DORAL, FL 33126
Phone: (305) 403 -0800
Fax: (305) 403 -0801
POLICY NUMBER: FH-22085-0
TYPE OF INSURANCE: COMMERCIAL AUTO
REINSTATEMENT EFFECTIVE DATE: 1/22/2014 (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 [ ] LIENHOLDER [ ]
NIL -003 (09 -09)
(Signature of Authorized Representative)
ADDITIONAL INSURED [X] PRODUCER [ ] COMPANY [ ]