POLICY CHANGE AND RENEWAL NOTIFICATIONLexisNexis /FIRSt
PO Box 11563
Milwaukee, WI 53211 -0563
IMPORTANT:
INSURANCE COVERAGE NOTIFICATION(S)
11111111111111011110111IIII0111IIII11111101110111011101110111111111111111110111111111111
1279654- 280489 -1 -M 04495 S1 /M
19 #
CITY OF CLEARWATER
112 S OSCEOLA AVE
CLEARWATER, FL 33756 -5106
1rrrr1111111lrri1iI11111" 111"1 111111111111111111111111IIIIuI111
Total Property Notifications with this Document: 3 July 22, 2016
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.
- Premium Bill and Renewal Bill items require action on the part of
the Loss Payee /Mortgagee listed.
- 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.
Notifications may print on back of page and on subsequent pages.
Policy: UHC562187701 REASON: Policy Change Carrier:
Insured: LEWIS DARLENE -1352 PARKWOOD ST- CLEARWATER -FL -33755
Mortgagee /Add.Party: CITY OF CLEARWATER ISAOA ATIMA -112 S OSCEOLA AVE - CLEARWATER -FL -33756
Insurance: UNITED PROPERTY & CASUALTY INS -PO BOX 51149 - SARASOTA -FL -34232
Producer: MORAN PROPERTY CAS -183 LANDRUM LN STE 103 -PONTE VEDRA BEACH FL -32082 904.280.2589
Prop. Loc: 1352 PARKWOOD ST- CLEARWATER -FL 33755
Loan #:RL -1494 Legal Desc: 1352 PARKWOOD ST
Coverage Coverage Amt
Dwelling 176,000
Personal Property 44,000
Liability 100,000
Personal Property - Replacement Cost 44,000
Notes: FORMS SCHEDULE FIRSt Id: 10969 -I197- 713565- 323520994
Coverage
Other Structures
Loss of Use
Med Pay
UPC INSURANCE
Pol. Type: Homeowners
Eff. Dte: 07/20/2016
Pol. From: 03/03/2016Po1. To: 03/03/2017
Total Policy Premium: 1,367.00
PremiumAmount: 0.00
Ded.Clause 1: 2,500
Coverage Amt
3,520 This is not an Invoice /Bill
35,200
2,000
Policy: HPH137104 REASON: Policy Change
Insured: NASH; CLAYTON -PO BOX 3096 - CLEARWATER -FL -33767
Mortgagee /Add.Party: CITY OF CLEARWATER -ISAOA ATIMA 112 SOUTH OSCELOLA
Insurance: West Point Underwriters -PO Box 2800 - Pinellas Park -FL -33780
Producer: Gavin Ins & Fin Svcs Inc -2270 Drew St- Clearwater -FL -33765 727.799.4665
Prop. Loc: 906 DRUID RD E- CLEARWATER -FL 33756
Loan #:RL1418 -1771
Coverage Coverage Amt
Dwelling 160,300
Liability 100,000
Med Pay 2,000
Sinkhole Coverage Excluded
Ordinance or Law Coverage 40,075
Notes: Standard /Takeout HT3 FIRSt Id: 14407 -I29- 280489- 323537480
Coverage
Contents
Loss of Use
Other Structures
Wind & Hail
Carrier: Heritage Property and Casualty Insurance Company
Pol. Type: Homeowners
AVE - CLEARWATER -FL -33756 Eff. Dte: 07/26/2016
Pol. From: 07/26/2016Pol. To: 07/26/2017
PremiumAmount: 1,763.00
Ded. Clausel &2: 2,500 8,015
Coverage Amt
40,075 This is not an Invoice /Bill
16,030
3,206
Included
Policy: HPH039117 REASON: Renewal Notification Carrier: Heritage
Insured: MALLOY; SHEILA -1220 S EVERGREEN AVE - CLEARWATER -FL -33756
Mortgagee / Add.Party: CITY OF CLEARWATER ISAOAATIMA -112 S OSCEOLA AVE - CLEARWATER -FL -33756
Insurance: West Point Underwriters -PO Box 2800 - Pinellas Park -FL -33780
Producer: Commonwealth Insurance of the Bay Area -3895 Tampa Rd- Oldsmar -FL -34677 727.784.4882
Prop. Loc: 1220 S EVERGREEN AVE - CLEARWATER -FL 33756
Loan #:DPA1528
Coverage Coverage Amt
Dwelling 155,324
Liability 100,000
Med Pay 2,000
Sinkhole Coverage Excluded
Ordinance or Law Coverage 38,831
Notes: Standard /Takeout HT3 FIRSt Id: 14407 -I29- 713565- 323540000
Coverage
Contents
Loss of Use
Other Structures
Wind & Hail
Page 1 of 1
Property and Casualty Insurance Company
Pol. Type: Homeowners
Eff. Dte: 09/14/2016
Pol. From: 09/14/2016Po1. To: 09/14/2017
PremiumAmount: 1,592.00
Ded. Clausel &2: 2,500 3,106
Coverage Amt
38,832 This is not an Invoice /Bill
15,532
3,106
Included