NEW BUSINESSLexisNexis 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.
856415- 285017 -1 -M
LexisNexis /FIRSt
Mail Drop B1/290 -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 12:01AM 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: OL30142007 REASON: New Business Eff. Dte: 03/31/2014
Pol. Type:Homeowners Pol. From: 03/31/2014Po1. To: 03/31/2015
Carrier: OLYMPUS INSURANCE COMPANY Loan #:
Prop. Loc: 116 N FREDRICA AVE-CLEARWATER-FL 33755 Ded. Clausel &2: 2,500 5%
End.No. /State: OLHO 100 -1 OLHO 140 -
Insured: MARIA CAROLINA CHADZIUTKO -116 N FREDRICA AVE - CLEARWATER -FL -33755
Mortgagee /Add.Party: CITY OF CLEARWATER ISAOA/ATIMA -P.O. BOX 4748 - CLEARWATER -FL -32758
Insurance: Olympus Insurance Company -7380 W Sand Lake Road Suite 115 - Orlando -FL -32819
Producer: SATELLITE AGNY NTWK TAMPA BAY - "DBA SAN OF FLORIDA 1 BEACH DR SE SUITE 230-ST PETERSBURG-FL-33701 727.521.2100
Coveraae Coveraae Am( Coveraae Coveraae Am(
Dwelling 163,888 Other Structures 3,278
Personal Property 81,944 Loss of Use 16,389
Liability 100,000 Med Pay 1,000
Notes: H03; Spec Provs -FL; Cat Ground Cover Coll; Sinkhole Cov Excluded FIRSt Id: 12954 -1121- 747357- 205866825