RENEWAL NOTIFICATION (17)LexisNexis/FI RSt
PO Box 11563
Milwaukee, WI 53211-0563
IMPORTANT:
INSURANCE COVERAGE NOTIFICATION(S)
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1995397-15925075-1-M 03961 11 S1 12
CITY OF CLEARWATER
600 CLEVELAND ST FL 6
CLEARWATER FL 33755-4167
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Total Property Notifications with this Document: 1
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.
- Premium Bill and Renewal Bili items require action on the part
of the Loss Payee/Mortgagee listed.
- 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.
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December 13, 2019 Notifications may print on back of page and on subsequent pages.
Policy: 60-02949136-2020 REASON: Renewal Notification Carrier: American
Insured: RAYMOND GERRI L -661 FAIRWOOD FOREST DR-CLEARWATER-FL-33759
Mortgagee/Add.Party: City of Clearwater ISAOA ATIMA -ATTN INS DEPT -600 CLEVELAND ST FL 6-CLEARWATER-FL-
33755-USA
Insurance: American Bankers Insurance Company of Florida -PO Box 2057 -Kalispell -MT -59903
Producer: BROWN & BROWN - PINELLAS-83 N PARK PLACE BLVD STE 101-CLEARWATER-FL-33759 727.461.6044
Prop. Loc: 661 FAIRWOOD FOREST DR-CLEARWATER,FL 33759
Loan #: RL -1833
Coverage Coverge Amt/Deduct Coverage Coverage Amt/Deduct
Dwelling 170,500/1,250 Contents 48,100/1,250
Dwelling Replacement Cost 83,000 Increased Building Coverage 187,600/1,250
Increased Content Coverage 50,500/1,250
Flood Zone (Rated/Current): AE/AE GrandFathered: Y
Community: CLEARWATER, CITY OF Number: 1250960010D #UNTS: 00001 #FLRS: 2 #BLDGS: 1
Notes: Building Description: Single Family Home; This is not a bill FIRSt Id: 10111-2183-15931815-516682583
RECEIVED
DEC 18 2019
OFFICIAL RECORDS AND
LEGISLATIVE SRYCS DEI' T.
Bankers Insurance Company of Florida
Pol. Type: Flood Standard
Eff. Dte: 02/20/2020
Pol. From: 02/20/2020 Pol. To: 02/20/2021
Total Policy Premium: 501.00
PremiumAmount: 501.00
Increased Premium Amount Due: 514.00
This is not an Invoice/Bill