NEW POLICY (4)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.
951669- 285017 -1 -M
LexisNexis /FIRSt
Mail Drop B1/250 -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: UICP0000007130 REASON: New Policy Eff. Dte: 11/23/2014
Pol. Type:Homeowners Pol. From: 11/23/2014Po1. To: 11/23/2015
Carrier: Universal Insurance Company of North America Loan #: NA
Prop. Loc: 2056 THE MALL - Clearwater -FL 33755 Ded. Clausel &2: 2,500 2%
Legal Desc: 2056 THE MALL Clearwater FL 33755 -1147
Insured: Magaraci ; Dana -2056 THE MALL - Clearwater -FL -33755
Mortgagee /Add.Party: CITY OF CLEARWATER ISOA ATIMA -PO BOX 4748 - Clearwater -FL -33758
Insurance: Universal Insurance Company of North America -PO Box 901036 -Fort Worth -TX -76101
Producer: STAHL & ASSOCIATES INSURANCE INC. -3939 Tampa Road- Oldsmar -FL -34677
Coveraae Coveraae Amt Coveraae Coveraae Amt
Dwelling 138,000 Other Structures 2,800
Personal Property 69,000 Loss of Use 27,600
Liability 100,000 Med Pay 1,000
FIRSt Id: 11986 -I110- 9832621- 231787338
LexisNexis /FIRSt
PO Box 10680
Peoria, IL 61612 -0680
October 15, 2014
RETURN SERVICE REQUESTED
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951669 - 285017 -1 -M 13188 B1 /L
CITY OF CLEARWATER
PO BOX 4748
CLEARWATER, FL 33758 - 4748
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FIRST -CLASS MAIL
PRESORTED
U.S. POSTAGE PAID
LEXISNEXIS
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