RENEWAL NOTIFICATION (13)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.
894664- 285017 -1 -M
LexisNexis /FI RSt
Mail Drop 81/290 -W
1000 Alderman Dr
Alpharetta, GA 30005
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Stamp
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IMPORTANT: INSURANCE COVERAGE NOTIFICATION(S)
LexisNexis is not the Insurance Company.
Do not send premium payments to LexisNexis /FIRS[.
-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: HPH027995 REASON: Renewal Notification Eff. Dte: 07/30/2014
Pol. Type:Homeowners Pol. From: 07/30/2014PoI. To: 07/30/2015
Carrier: Heritage Property and Casualty Insurance Company Loan #:
Prop. Loc: 1104 S SAN REMO AVE - CLEARWATER -FL 33756 Ded. Clause? &2: 2,500 10,042
Insured: RILEY; ALFONSA NICOLE RILEY -1104 S SAN REMO AVE - CLEARWATER -FL -33756
Mortgagee /Add.Party: CITY OF CLEARWATER ISAOA ATIMA -PO BOX 4748 - CLEARWATER -FL -33758
Insurance: West Point Underwriters -PO Box 2800 - Pinellas Park -FL -33780 -
Producer: Dennis Insurance Agency Inc -209 Crystal Grove Blvd- Lutz -FL -33548 813.949.6480
Coveraae Coveraae Amt Coverage Coveraae Amt PremiumAmount: 1,751.00
Dwelling 200,850 Contents 50,213
Liability 100,000 Loss of Use 20,085
Med Pay 2,000 Other Structures Included
Sinkhole Coverage Excluded Wind & Hail Included
Ordinance or Law Coverage 50,212
Notes: Standard /Takeout HT3 FIRSt Id: 14407 -129- 747357- 216427650