POLICY CHANGE SUMMARY (4)Page 1 of 1 I
%.-r6TIZENS
PROPERTY INSURANCE CORPORATION
CITIZENS PROPERTY INSURANCE CORPORATION
301 W BAY ST
JACKSONVILLE FL 32202
POLICY CHANGE SUMMARY
POLICY NUMBER: 01502875 - 2
POLICY PERIOD FROM 12/13/2016 TO 12/13/2017
at 12:01 a.m. Eastern Time
Transaction: RENEWAL
Item
Prior Policy Information
Amended Policy Information
Policy Info
Additional Interest: CALIBER HOME LOANS INC ISAOA
Company Name
Caliber Home Loans Inc ISAOA
ATIMA
CALIBER HOME LOANS INC ISAOA
Property Address Info
Policy Address (1: Location 1)
City
CLEARWATER
Clearwater
County
PINELLAS
Pinellas
RECEIVED
AUG 15 2016
OFFICIAL RECORDS AND
LEGISLATIVE SRVCS DEPT
This summary is for informational purposes only and does not change any of the terms or provisions on your policy. Please
carefully review your policy Declarations and any attached forms for a complete description of coverage.
I PCS 01 14
CITIZENS
PROPERTY INSURANCE CORPORATION
CITIZENS PROPERTY INSURANCE CORPORATION
301 W BAY ST
JACKSONVILLE FL 32202
Homeowners HO-6 Condo Unit -Owners Form Policy - Declarations
POLICY NUMBER: 01502875 - 2
POLICY PERIOD: FROM 12/13/2016 TO 12/13/2017
at 12:01 a.m. Eastern Time at the Location of the Residence Premises
Transaction: RENEWAL
Named Insured and Mailing Address:
First Named Insured:
CLAUDETTE MARTINO
1297 DREW ST
CLEARWATER, FL 33755 -4938
Phone Number: 305 - 741 -8693
Location Of Residence Premises:
1297 DREW ST
Clearwater FL 33755 -4938
County:Pinellas
Agent: FI. Agent Lic. #: A091969
THE GAINEY AGENCY LLC
EARL GAINEY
1500 34TH ST N STE 4
SAINT PETERSBURG, FL 33713
Phone Number: 727 -327 -5531
Citizens Agency ID#: 20078
Additional Named Insured: Please refer to "ADDITIONAL NAMED INSURED(S)" section for details
Coverage is only provided where a premium and a limit of liability is shown
All Other Perils Deductible: $500
SECTION I - PROPERTY COVERAGES
A. Dwelling :
C. Personal Property:
D. Loss of Use:
SECTION II - LIABILITY COVERAGES
E. Personal Liability:
F. Medical Payments:
OTHER COVERAGES
Personal Property Replacement Cost
Ordinance or Law Limit (25% of'Cov A)
Unit Owners Coverage A - Special Coverage
Florida Hurricane Catastrophe Fund Build -Up Premium:
Premium Adjustment Due To Allowable Rate Change:
Hurricane Deductible: $500
LIMIT OF LIABILITY
MANDATORY ADDITIONAL CHARGES:
2012 Florida Insurance Guaranty Association (FIGA) Regular Assessment
Emergency Management Preparedness and Assistance Trust Fund (EMPA)
Tax - Exempt Surcharge
TOTAL POLICY PREMIUM INCLUDING ASSESSMENTS AND ALL SURCHARGES:
The portion of your premium for:
Hurricane Coverage is $21
Authorized By: EARL GAINEY
$40,000
$20,000
$4,000
$100,000
$2,000
Included
(See Policy)
Included
SUBTOTAL:
Non - Hurricane Coverage is $448
0
M
ANNUAL PREMIUM Q
$376 co
m
oo
INCLUDED
INCLUDED
$51
Included
$41
$468
$1
$0
$1
$2
$8
$480
Processed Date: 08/09/2016
DEC H06 12 15
Mortgageholder
Page 1 of 31
Page 2of31
CITIZENS
PROPERTY INSURANCE CORPORATION
CITIZENS PROPERTY INSURANCE CORPORATION
301 W BAY ST
JACKSONVILLE FL 32202
Homeowners HO-6 Condo Unit -Owners Form Policy - Declarations
Policy Number: 01502875 - 2 POLICY PERIOD: FROM 12/13/2016 TO 12/13/2017
First Named Insured: CLAUDETTE MARTINO at 12:01 a.m. Eastern lime at the Location of the Residence Premises
Forms and Endorsements applicable to this policy:
CIT 17 32 02 16, CIT 04 90 01 13, H0 04 16 04 91, CIT 04 96 02 16, CIT HO-6 02 16, CIT 24 07 08
Rating/Underwriting Information
Year Built:
2013
Protective Device - Burglar Alarm:
Yes
Town / Row House:
No
Protective Device - Fire Alarm:
No
Construction Type:
Masonry
Protective Device - Sprinkler:
None
BCEGS:
03
No Prior Insurance Surcharge:
No
Territory / Coastal Territory:
081 / 00
Terrain:
B
Wind / Hail Exclusion:
No
Roof Cover:
N/A
Municipal Code - Police:
251
Roof Cover - FBC Wind Speed:
120 mph or greater and
WBDR
Municipal Code - Fire:
251
Roof Cover - FBC Wind Design:
120 mph or greater
Occupancy:
Owner Occupied
Roof Deck Attachment:
Unknown
Use:
Primary
Roof -Wall Connection:
N/A
Number of Families:
1
Secondary Water Resistance:
No
Protection Class:
2
Roof Shape:
Gable
Distance to Hydrant (ft.):
500
Opening Protection:
Unknown
Distance to Fire Station (mi.):
1
A premium adjustment of ($142) is included to reflect the building's wind loss mitigation features or construction techniques that exists.
A premium adjustment of ($21) is included to reflect the building code effectiveness grade for your area. Adjustments range from a 3%
surcharge to a 46% credit.
Your policy premium has increased by $3. Of this amount:
The premium difference due to an approved rate change is $2
The premium difference due to changes in your coverage is $0
The premium difference due to mandatory additional charges plus FHCF Build -up is $1
ADDITIONAL NAMED INSURED(S)
Name Address
................_............. .
No Additional Named Insureds
ADDITIONAL INTERESTIS)
# Interest Type
1 2nd Mortgagee
2 1st Mortgagee
Name and Address
City of Clearwater ISAOA ATIMA
PO BOX 4748 CLEARWATER, FL 33758-4748
CALIBER HOME LOANS INC ISAOA
PO BOX 7731 SPRINGFIELD, OH 45501 -7731
Loan Number
9700090435
IDEC H06 12 15
Mortgageholder
CITIZENS
PROPERTY INSURANCE CORPORATION
CITIZENS PROPERTY INSURANCE CORPORATION
301 W BAY ST
JACKSONVILLE FL 32202
Homeowners HO -6 Condo Unit -Owners Form Policy - Declarations
Policy Number: 01502875 - 2 POLICY PERIOD: FROM 12/13/2016 TO 12/13/2017
First Named Insured: CLAUDETTE MARTINO at 12:01 a.m. Eastern Time at the Location of the Residence Premises
FLOOD COVERAGE IS NOT PROVIDED BY THIS POLICY.
THIS POLICY CONTAINS A SEPARATE DEDUCTIBLE
FOR HURRICANE LOSSES, WHICH MAY RESULT
IN HIGH OUT -OF- POCKET EXPENSES TO YOU.
LAW AND ORDINANCE COVERAGE IS AN IMPORTANT
COVERAGE THAT YOU MAY WISH TO PURCHASE. YOU
MAY ALSO NEED TO CONSIDER THE PURCHASE OF
FLOOD INSURANCE FROM THE NATIONAL FLOOD
INSURANCE PROGRAM. WITHOUT THIS COVERAGE,
YOU MAY HAVE UNCOVERED LOSSES. PLEASE DISCUSS
THESE COVERAGES WITH YOUR INSURANCE AGENT.
TO REPORT A CLAIM CALL 866.411.2742
INFORMATION ABOUT YOUR POLICY MAY BE MADE AVAILABLE TO INSURANCE COMPANIES AND /OR AGENTS TO ASSIST
THEM IN FINDING OTHER AVAILABLE INSURANCE MARKETS.
PLEASE CONTACT YOUR AGENT IF THERE ARE ANY QUESTIONS PERTAINING TO YOUR POLICY. IF YOU ARE UNABLE TO
CONTACT YOUR AGENT, YOU MAY REACH CITIZENS AT 888.685.1555.
IDEC H06 12 15
Mortgageholder
Page 3of31
00061858004086080303
00
4086 EARL GAINEY
THE GAINEY AGENCY LLC
1500 34TH ST N STE 4
SAINT PETERSBURG, FL 33713
CITY OF CLEARWATER ISAOA ATIMA
PO BOX 4748
CLEARWATER, FL 33758 -4748