RENEWAL NOTIFICATION (16)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.
Place
Stamp
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1733624-285017-1-M
LexisNexis/FIRSt
2885 Breckinridge Blvd, Ste 400
Duluth, GA 30096
101-111.1111..1111.1-111111111111.1 .1.111011111111.11111.1111
IMPORTANT: INSURANCE COVERAGE NOTIFICATION(S)
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 12:01 AM local time at the premises, unless
otherwise shown in the item detail provided.
-If you want to receive future notifications electronically, email firstsupport@lexisnexisrisk.com.
-This Insurance notice is sent to you as the Loss Payee/Mortgagee/Additional Interested Party on behalf of the carrier listed.
Policy: MUH1007492 REASON: Renewal Notification
Pol. Type: Homeowners
Carrier: American Traditions Insurance Company
Prop. Loc: 2080 SUN DOWN DR-CLEARWATER-FL 33763
Insured: GRAY; RAPHAEL-2080 SUN DOWN DR-CLEARWATER-FL-33763
Mortgagee/Add.Party: CITY OF CLEARWATER ISAOA ATIMA HOUSING DIVISION
Insurance: West Point Underwriters -PO Box 2800 -Pinellas Park -FL -33780
Producer: Eddie Passmore & Associates -2203 N Hercules Ave -Clearwater -FL -33763
Coverage
Dwelling
Liability
Med Pay
Sinkhole Coverage
Ordinance or Law Coverage
Notes: Standard Homeowners
Eft. Dte: 11/26/2018
Pol. From: 11/26/2018 Pol. To: 11/26/2019
Loan 4: 1612
Ded. Clausel&2: 1,000 3,640
-PO BOX 4748-CLEARWATER-FL-33758-USA
727.210.0522
Coverage Amt PremiumAmount: 1472.00
91,000
18,200
3,640
Included
Coverage Amt Coverage
182,000 Contents
100,000 Loss of Use
1,000 Other Structures
Excluded Wind & Hail
45,500
Plan FIRSt Id: 12359-129-2918189-449244102
LexisNexis/FI RSt
PO Box 11563
Milwaukee, WI 53211-0563
October 09, 2018
ELECTRONIC SERVICE REQUESTED
I IIIIII IIIA IIIA IIIA IIIA IIIA IIIA IIII IIIIII IIIA VIII IIIA IIIA IIIA IIII IIIIII IIII IIIIIIII II IIII
1733624-285017-1-M
07319 B1 29
CITY OF CLEARWATER
PO BOX 4748
CLEARWATER FL 33758-4748
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