NEW POLICY (2)LexisNexis 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.
IMPORTANT: INSURANCE COVERAGE NOTIFICATION(S)
LexisNexis is not the Insurance Company.
Do not send premium payments to LexisNexis /FIRSt.
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823204 - 285017 -1 -M
LexisNexis /FIRSt
Mail Drop B1/29O -W
1000 Alderman Dr
Alpharetta, GA 30005
Place
Stamp
Here
-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 12:01 AM 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: UICP0000001654 REASON: New Policy
Pol. Type:Homeowners
Carrier: Universal Insurance Company of North America
Prop. Loc: 1850 FULLER DR- Clearwater -FL 33755
Legal Desc: 1850 FULLER DR Clearwater FL 33755 -1928
Insured: Okuboye ; Rashidat -1850 FULLER DR- Clearwater -FL -33755
Mortgagee /Add.Party: CITY OF CLEARWATER ISAOA ATIMA -PO BOX 4748 - Clearwater -FL -33758
Insurance: Universal Insurance Company of North America -PO Box 901036 -Fort Worth -TX -76101
Producer: Bentley Group Enterprises Inc -6524 1ST AVE N -St. Petersburg -FL -33710
Coveraae Coveraae Am( Coveraae
Dwelling 150,000 Other Structures
Personal Property 75,000 Loss of Use
Liability 100,000 Med Pay
FIRSt Id: 11986 -I110- 747357 - 197338288
Eff. Dte: 03/14/2014
Pol. From: 03/14/2014PoI. To: 03/14/2015
Loan #: NA
Ded. Clausel &2: 1,000 5%
Coveraae Amt
3,000
30,000
1,000