NEW POLICYLexisNexis 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.
wro
JP t 2 .f
LEC-1SLATiVE S CS DE
822401 - 285017 -1 -M
LexisNexis /FIRSt
Mail Drop B1/290 -W
1000 Alderman Dr
Alpharetta, GA 30005
Place
Stamp
Here
IMPORTANT: INSURANCE COVERAGE NOTIFICATION(S)
LexisNexis is not the Insurance Company.
Do not send premium payments to LexisNexis /FIRSt.
-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 12:01AM 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.
Policy: E002505773 REASON: New Policy Eff. Dte: 02/28/2014
Pol. Type:Homeowners Pol. From: 02/28/2014Pol. To: 02/28/2015
Carrier: Tower Hill Prime Ins. Co. Loan #:
Prop. Loc: 1476 WOODLAWN OAKS AVE - CLEARWATER -FL 33756 Ded. Clausel &2: 2,500 2%
Legal Desc: 1476 WOODLAWN OAKS AVE CLEARWATER
Insured: BETZ NICQUITA -1476 WOODLAWN OAKS AVE - CLEARWATER -FL -33756
Mortgagee /Add.Party: CITY OF CLEARWATER -PO BOX 4748 ATTN TERRY MALCOLM - CLEARWATER -FL -33758
Insurance: Tower Hill Prime Ins. Co.-PO Box 147018 - Gainesville -FL -32614
Producer: MASI INSURANCE INC. -10912 HAMLIN BLVD - LARGO -FL -33774 727.399.1900
Coveraae Coverage Amt Coveraae Coverage Amt PremiumAmount: 0.00
Dwelling 186,700 Other Structures 3,734
Flood 0
FIRSt Id: 11027 -I15- 285017- 197022391