ANY PROPRIETOR/PARTNER/EXECUTIVEOFFICER/MEMBER EXCLUDED?
INSR ADDL SUBRLTR INSD WVD
PRODUCER CONTACTNAME:
FAXPHONE(A/C, No):(A/C, No, Ext):
E-MAILADDRESS:
INSURER A :
INSURED INSURER B :
INSURER C :
INSURER D :
INSURER E :
INSURER F :
POLICY NUMBER POLICY EFF POLICY EXPTYPE OF INSURANCE LIMITS(MM/DD/YYYY) (MM/DD/YYYY)
AUTOMOBILE LIABILITY
UMBRELLA LIAB
EXCESS LIAB
WORKERS COMPENSATIONAND EMPLOYERS' LIABILITY
DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES (ACORD 101, Additional Remarks Schedule, may be attached if more space is required)
AUTHORIZED REPRESENTATIVE
EACH OCCURRENCE $DAMAGE TO RENTEDCLAIMS-MADE OCCUR $PREMISES (Ea occurrence)
MED EXP (Any one person) $
PERSONAL & ADV INJURY $
GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $PRO-POLICY LOC PRODUCTS - COMP/OP AGGJECT
OTHER: $COMBINED SINGLE LIMIT
$(Ea accident)
ANY AUTO BODILY INJURY (Per person) $OWNED SCHEDULED
BODILY INJURY (Per accident) $AUTOS ONLY AUTOSHIRED NON-OWNED PROPERTY DAMAGE
$AUTOS ONLY AUTOS ONLY (Per accident)
$
OCCUR EACH OCCURRENCECLAIMS-MADE AGGREGATE $
DED RETENTION $PER OTH-STATUTE ER
E.L. EACH ACCIDENT
E.L. DISEASE - EA EMPLOYEE $If yes, describe under
E.L. DISEASE - POLICY LIMITDESCRIPTION OF OPERATIONS below
INSURER(S) AFFORDING COVERAGE NAIC #
COMMERCIAL GENERAL LIABILITY
Y / NN / A
(Mandatory in NH)
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED INACCORDANCE WITH THE POLICY PROVISIONS.
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIODINDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THISCERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THISCERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZEDREPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must have ADDITIONAL INSURED provisions or be endorsed.If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement onthis certificate does not confer rights to the certificate holder in lieu of such endorsement(s).
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
CERTIFICATE HOLDER CANCELLATION
© 1988-2015 ACORD CORPORATION. All rights reserved.ACORD 25 (2016/03)
CERTIFICATE OF LIABILITY INSURANCE DATE (MM/DD/YYYY)
$
$
$
$
$
The ACORD name and logo are registered marks of ACORD
D2TJACKSON
10/24/2018
SHOROFC-01
ACWP9770461
BWDY-D587616-00
ACWP9770461
C 41-LX-093863633-0
500,000500,000
500,000
2,000,000
1,000,0002,000,000
1,000150,000
1,000,000
1,000,000
X
X
X X
XX
License # L077730
05/15/2018 05/15/2019
05/15/2018 05/15/2019
05/15/2018 05/15/2019
05/15/2018 05/15/2019
FOR INFORMATION ONLY
AssuredPartners, Lake Mary300 Colonial Center Parkway, Suite 270Lake Mary, FL 32746
(407) 203-9570(407) 982-4451
Shorewood Community Association, Inc.FOR INFORMATION ONLY5505 N Atlantic Avenue, Suite 207Cocoa Beach, FL 32931
Shorewood Community Association, Inc.5505 N Atlantic Avenue #207Cocoa Beach, FL 32931
Westfield Insurance CompanyMassachusetts Bay Insurance CoLexington Insurance Company
241122230619437
SEE REMARKSProperty
FORM NUMBER:
EFFECTIVE DATE:
The ACORD name and logo are registered marks of ACORD
ADDITIONAL REMARKS
ADDITIONAL REMARKS SCHEDULE
FORM TITLE:
Page of
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
ACORD 101 (2008/01)
AGENCY CUSTOMER ID:LOC #:
AGENCY NAMED INSURED
POLICY NUMBER
CARRIER NAIC CODE
© 2008 ACORD CORPORATION. All rights reserved.
AssuredPartners, Lake Mary
SHOROFC-01
SEE PAGE 1
1
SEE PAGE 1
ACORD 25 Certificate of Liability Insurance
License # L077730
1
SEE P 1
Shorewood Community Association, Inc.5505 N Atlantic Avenue #207Cocoa Beach, FL 32931Brevard
SEE PAGE 1
D2TJACKSON
3
Additional Coverages:_____________________________________________________________________________________General Liability policy includes separation of insureds provision._____________________________________________________________________________________PROPERTY COVERAGE Insurer:Lexington Insurance CompanyPolicy #: 41-LX-093863633-0Effective: 5/15/2018-5/15/2019
Location 1: 602 Shorewood Drive, Cape Canaveral, FL 32920 (24 Units)Building Limit: $5,978,479Contents Limit: $10,000
Location 2: 604 Shorewood Drive, Cape Canaveral, FL 32920 (24 Units)Building Limit: $5,978,479Contents Limit: $10,000
Location 3: 606 Shorewood Drive, Cape Canaveral, FL 32920 (32 Units)Building Limit: $7,611,373Contents Limit: $10,000
Location 4: 609 Shorewood Drive, Cape Canaveral, FL 32920 (32 Units)Building Limit: $8,171,639Contents Limit: $10,000
Location 5: 605 Shorewood Drive, Cape Canaveral, FL 32920 (36 Units)Building Limit: $7,903,170Contents Limit: $10,000
Location 6: 603 Shorewood Drive, Cape Canaveral, FL 32920 (24 Units)Building Limit: $5,978,479Contents Limit: $10,000
Location 7: 601 Shorewood Drive, Cape Canaveral, FL 32920 (24 Units)Building Limit: $5,978,479Contents Limit: $10,000
Location 8: 607 Shorewood Drive, Cape Canaveral, FL 32920 Clubhouse Building Limit: $335,386Clubhouse Contents Limit: $75,000
Location 9: Shorewood Drive, Cape Canaveral, FL 32920Guard House Limit: $21,483Guard House Contents Limit: $5,000Entry Gates (2) Limit: $13,888Swimming Pool Limit: $111,656Spa Limit: $14,100Lighting Limit: $24,304Tennis Courts (2) Limit: $47,368Pool Fencing Limit: $16,070Perimeter Fencing Limit: $53,816
FORM NUMBER:
EFFECTIVE DATE:
The ACORD name and logo are registered marks of ACORD
ADDITIONAL REMARKS
ADDITIONAL REMARKS SCHEDULE
FORM TITLE:
Page of
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
ACORD 101 (2008/01)
AGENCY CUSTOMER ID:LOC #:
AGENCY NAMED INSURED
POLICY NUMBER
CARRIER NAIC CODE
© 2008 ACORD CORPORATION. All rights reserved.
AssuredPartners, Lake Mary
SHOROFC-01
SEE PAGE 1
2
SEE PAGE 1
ACORD 25 Certificate of Liability Insurance
License # L077730
1
SEE P 1
Shorewood Community Association, Inc.5505 N Atlantic Avenue #207Cocoa Beach, FL 32931Brevard
SEE PAGE 1
D2TJACKSON
3
Gazebo Limit: $9,800Shuffleboard Courts (2) Limit: $6,500Boardwalk Limit: $25,000Fountains Limit: $23,000
Deductibles:$5,000 All Other Perils, Per Occurrence2% Hurricane, Per Building, Per Annual Aggregate Subject to $25,000 Minimum Per Occurrence$15,000 All Other Wind/Hail, Per Occurrence3% Sinkhole, Per Occurrence$5,000 Equipment Breakdown, Per Occurrence
Special Form Replacement Cost
Coinsurance: Agreed Amount
Sinkhole IncludedEquipment Breakdown Included
Ordinance or LawCoverage A: IncludedCoverage B&C Combined: $1,000,000
Walls-Out Coverage (No Coverage for Interior of Unit)____________________________________________________________________________________
CRIME COVERAGEInsurer: Hanover InsurancePolicy #: BDJ-D596655-00Effective: 5/15/2018-5/15/2019
Employee Theft Limit: $2,250,000Deductible: $10,000Forgery or Alteration Limit: $2,250,000Deductible: $10,000Computer Fraud Limit: $2,250,000Deductible: $10,000Funds Transfer Fraud Limit: $2,250,000Deductible: $10,000Funds Transfer Fraud – False Pretenses Limit: $25,000 Deductible: $5,000Investigative Expense Limit: $10,000Deductible: $0
Property Manager Included as Employee_____________________________________________________________________________________
DIRECTORS & OFFICERSInsurer: Travelers Casualty & Surety Company of AmericaPolicy #: 106182526Effective: 10/10/2017-10/10/2018
Aggregate Limit: $1,000,000
FORM NUMBER:
EFFECTIVE DATE:
The ACORD name and logo are registered marks of ACORD
ADDITIONAL REMARKS
ADDITIONAL REMARKS SCHEDULE
FORM TITLE:
Page of
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
ACORD 101 (2008/01)
AGENCY CUSTOMER ID:LOC #:
AGENCY NAMED INSURED
POLICY NUMBER
CARRIER NAIC CODE
© 2008 ACORD CORPORATION. All rights reserved.
AssuredPartners, Lake Mary
SHOROFC-01
SEE PAGE 1
3
SEE PAGE 1
ACORD 25 Certificate of Liability Insurance
License # L077730
1
SEE P 1
Shorewood Community Association, Inc.5505 N Atlantic Avenue #207Cocoa Beach, FL 32931Brevard
SEE PAGE 1
D2TJACKSON
3
Retention: $1,000_____________________________________________________________________________________
14160204302018
American Bankers Insurance Company of FloridaAmerican Bankers Insurance Company of FloridaAmerican Bankers Insurance Company of FloridaScottsdale, AZ 85261-4337Scottsdale, AZ 85261-4337
Standard PolicyStandard Policy
These Declarations are effectiveas of: 06/01/2018 at 12:01 AM
Revised Declaration
For payment status, call: (800) 423-4403For payment status, call: (800) 423-440302/25/2018 To 02/25/201902/25/2001
RCBAP
ProduProducer Ncer Name aame and Mnd Mailinailing Addg Address:ress:ASSUREDPARTNERS OF FLORIDA, LLC300 COLONIAL CENTER PARKWAY, STE 270LAKE MARY, FL 32746
141602043010111
Agent/Agency #: 10464-00219-000Flood Service CenterP.O. Box 8695 Kalispell MT 59904-8695(407)440-1466
SHOREWOOD COMMUNITY ASSN INC5505 N ATLANTIC AVE STE 207COCOA BEACH, FL 32931-5116
606 SHOREWOOD DR BLDG CCAPE CANAVERAL, FL 32920-5084
YInsured
Other ResidentialThree or More FloorsElevated Without EnclosureHigh RiseMain House
AE12 5094 0364 G 2
CAPE CANAVERAL, CITY OF YNo Includes Addition(s) and Extension(s)Includes Addition(s) and Extension(s)
Post-Firm ConstructionPost-Firm Construction $8,540,000Regular 32
DiscouDiscountnt8,000,000 .550 / .045 1,250 13- 4,471.00 4,471.00
5.00
671.00
571.00
250.00
2,000.00.00
.00
6,626.00
THIS IS AN ELEVATED BUILDING. COVERAGE IS LIMITED BELOW THELOWEST ELEVATED FLOOR. SEE PROPERTY NOT COVERED IN STANDARDFLOOD INSURANCE POLICY.
CoverCoverage Liage Limitatimitations Maons May Appy Apply. Sly. See Yoee Your Polur Policy Foicy Form form for Detr Details.ails.
American Bankers Insurance Company of Florida14160204302018 06/11/2018 ASULOG_AGT_MS_ _000000914571
25570058172018
American Bankers Insurance Company of FloridaAmerican Bankers Insurance Company of FloridaAmerican Bankers Insurance Company of FloridaScottsdale, AZ 85261-4337Scottsdale, AZ 85261-4337
Standard PolicyStandard Policy
These Declarations are effectiveas of: 06/01/2018 at 12:01 AM
Revised Declaration
For payment status, call: (800) 423-4403For payment status, call: (800) 423-440302/27/2018 To 02/27/201901/01/2000
RCBAP
ProduProducer Ncer Name aame and Mnd Mailinailing Addg Address:ress:ASSUREDPARTNERS OF FLORIDA, LLC300 COLONIAL CENTER PARKWAY, STE 270LAKE MARY, FL 32746
570058170210111
Agent/Agency #: 10464-00219-000Flood Service CenterP.O. Box 8695 Kalispell MT 59904-8695(407)440-1466
SHOREWOOD COMMUNITY ASSN INC5505 N ATLANTIC AVE STE 207COCOA BEACH, FL 32931-5116
601 SHOREWOOD DRCAPE CANAVERAL, FL 32920-5089
YInsured
Other ResidentialThree or More FloorsSlab On GradeHigh RiseMain HouseBLDG G
X12 5094 0363 G N/A
CAPE CANAVERAL, CITY OF NNo Includes Addition(s) and Extension(s)Includes Addition(s) and Extension(s)
Post-Firm ConstructionPost-Firm Construction $6,661,000Regular 24
DiscouDiscountnt6,000,000 1.290 / .071 1,250 13- 6,381.00 6,381.00
5.00
319.00
910.00
250.00
2,000.00.00
.00
9,227.00CoverCoverage Liage Limitatimitations Maons May Appy Apply. Sly. See Yoee Your Polur Policy Foicy Form form for Detr Details.ails.
American Bankers Insurance Company of Florida25570058172018 06/10/2018 ASULOG_AGT_MS_ _000000914563
14160249532018
American Bankers Insurance Company of FloridaAmerican Bankers Insurance Company of FloridaAmerican Bankers Insurance Company of FloridaScottsdale, AZ 85261-4337Scottsdale, AZ 85261-4337
Standard PolicyStandard Policy
These Declarations are effectiveas of: 07/02/2018 at 12:01 AM
Renewal
For payment status, call: (800) 423-4403For payment status, call: (800) 423-440307/02/2018 To 07/02/201907/02/2001
RCBAP
ProduProducer Ncer Name aame and Mnd Mailinailing Addg Address:ress:ASSUREDPARTNERS OF FLORIDA, LLC300 COLONIAL CENTER PARKWAY, STE 270LAKE MARY, FL 32746
141602495310111
Agent/Agency#: 10464-00219-000Flood Service CenterP.O. Box 8695 Kalispell MT 59904-8695(407)440-1466
SHOREWOOD COMMUNITY ASSN, INC5505 N ATLANTIC AVE STE 207COCOA BEACH, FL 32931-5116
604 SHOREWOOD DR BLDG BCAPE CANAVERAL, FL 32920-5085
NInsured
Other ResidentialThree or More FloorsBasementHigh RiseMain House
X12 5094 0363 G N/A
CAPE CANAVERAL, CITY OF NNo Includes Addition(s) and Extension(s)Includes Addition(s) and Extension(s)
Post-Firm ConstructionPost-Firm Construction $6,920,019Regular 24
DiscouDiscountnt6,000,000 1.580 / .096 1,250 13- 8,344.00 8,344.00
6.00
418.00
1,190.00
250.00
2,000.00.00
.00
11,372.00CoverCoverage Liage Limitatimitations Maons May Appy Apply. Sly. See Yoee Your Polur Policy Foicy Form form for Detr Details.ails.
American Bankers Insurance Company of Florida14160249532018 06/28/2018 ASULOG_AGT_MS_ _000000966480
14160252032018
American Bankers Insurance Company of FloridaAmerican Bankers Insurance Company of FloridaAmerican Bankers Insurance Company of FloridaScottsdale, AZ 85261-4337Scottsdale, AZ 85261-4337
Standard PolicyStandard Policy
These Declarations are effectiveas of: 07/25/2018 at 12:01 AM
Renewal
For payment status, call: (800) 423-4403For payment status, call: (800) 423-440307/25/2018 To 07/25/201907/25/2001
RCBAP
ProduProducer Ncer Name aame and Mnd Mailinailing Addg Address:ress:ASSUREDPARTNERS OF FLORIDA, LLC300 COLONIAL CENTER PARKWAY, STE 270LAKE MARY, FL 32746
141602520310111
Agent/Agency#: 10464-00219-000Flood Service CenterP.O. Box 8695 Kalispell MT 59904-8695(407)440-1466
SHOREWOOD COMMUNITY ASSNC/O KEYS PROPERTY MANAGEMENT C5505 N ATLANTIC AVE STE 207COCOA BEACH, FL 32931-5116
605 SHOREWOOD DRCAPE CANAVERAL, FL 32920-5088
NInsured
Other ResidentialThree or More FloorsElevated Without EnclosureHigh RiseMain HouseBUILDING E
AE12 5094 0363 G 2
CAPE CANAVERAL, CITY OF YNo Includes Addition(s) and Extension(s)Includes Addition(s) and Extension(s)
Post-Firm ConstructionPost-Firm Construction $9,199,956Regular 36
DiscouDiscountnt9,000,000 .550 / .046 1,250 13- 5,010.00 5,010.00
6.00
752.00
640.00
250.00
2,000.00.00
.00
7,154.00
THIS IS AN ELEVATED BUILDING. COVERAGE IS LIMITED BELOW THELOWEST ELEVATED FLOOR. SEE PROPERTY NOT COVERED IN STANDARDFLOOD INSURANCE POLICY.
CoverCoverage Liage Limitatimitations Maons May Appy Apply. Sly. See Yoee Your Polur Policy Foicy Form form for Detr Details.ails.
American Bankers Insurance Company of Florida14160252032018 06/28/2018 ASULOG_AGT_MS_ _000000966476
99059065442018
American Bankers Insurance Company of FloridaAmerican Bankers Insurance Company of FloridaAmerican Bankers Insurance Company of FloridaScottsdale, AZ 85261-4337Scottsdale, AZ 85261-4337
Preferred RiskPreferred Risk
These Declarations are effectiveas of: 09/28/2018 at 12:01 AM
Renewal
For payment status, call: (800) 423-4403For payment status, call: (800) 423-440309/28/2018 To 09/28/201909/28/2012
General Property
ProduProducer Ncer Name aame and Mnd Mailinailing Addg Address:ress:ASSUREDPARTNERS OF FLORIDA, LLC300 COLONIAL CENTER PARKWAY, STE 270LAKE MARY, FL 32746
990590654410111
Agent/Agency#: 10464-00219-000Flood Service CenterP.O. Box 8695 Kalispell MT 59904-8695(407)440-1466
SHOREWOOD COMMUNITY ASSN INC5505 N ATLANTIC AVE STE 207COCOA BEACH, FL 32931-5116
607 SHOREWOOD DR REC BUILDINGCAPE CANAVERAL, FL 32920
NInsured
Non-Res. BusinessOne FloorNo Basement/Enclosure/CrawlspaceMain House
X12 5094 0363 G N/A
CAPE CANAVERAL, CITY OF NNo Includes Addition(s) and Extension(s)Includes Addition(s) and Extension(s)
Post-Firm ConstructionPost-Firm Construction $400,000Regular 1
DiscouDiscountnt500,000 / 1,250 1,564.00
50,000 / 1,250
4.00
.00
235.00
250.00
25.00.00
.00
2,078.00
Lowest Floor Only AboveGround Level
CoverCoverage Liage Limitatimitations Maons May Appy Apply. Sly. See Yoee Your Polur Policy Foicy Form form for Detr Details.ails.
American Bankers Insurance Company of Florida99059065442018 08/12/2018 ASULOG_AGT_MS_ _000001081312
99050779622017
American Bankers Insurance Company of FloridaAmerican Bankers Insurance Company of FloridaAmerican Bankers Insurance Company of FloridaScottsdale, AZ 85261-4337Scottsdale, AZ 85261-4337
Standard PolicyStandard Policy
These Declarations are effectiveas of: 06/01/2018 at 12:01 AM
Revised Declaration
For payment status, call: (800) 423-4403For payment status, call: (800) 423-440310/18/2017 To 10/18/201810/18/2000
RCBAP
ProduProducer Ncer Name aame and Mnd Mailinailing Addg Address:ress:ASSUREDPARTNERS OF FLORIDA, LLC300 COLONIAL CENTER PARKWAY, STE 270LAKE MARY, FL 32746
990507796210111
Agent/Agency #: 10464-00219-000Flood Service CenterP.O. Box 8695 Kalispell MT 59904-8695(407)440-1466
SHOREWOOD COMMUNITY ASSN INC5505 N ATLANTIC AVE STE 207COCOA BEACH, FL 32931-5116
609 SHOREWOOD DR BLDG DCAPE CANAVERAL, FL 32920-5066
NInsured
Other ResidentialThree or More FloorsElevated Without EnclosureHigh RiseMain House
AE12 5094 0364 G 2
CAPE CANAVERAL, CITY OF YNo Includes Addition(s) and Extension(s)Includes Addition(s) and Extension(s)
Post-Firm ConstructionPost-Firm Construction $9,263,000Regular 32
DiscouDiscountnt8,000,000 .550 / .045 1,250 13- 4,471.00 4,471.00
5.00
671.00
571.00
250.00
2,000.00.00
.00
6,626.00
THIS IS AN ELEVATED BUILDING. COVERAGE IS LIMITED BELOW THELOWEST ELEVATED FLOOR. SEE PROPERTY NOT COVERED IN STANDARDFLOOD INSURANCE POLICY.
CoverCoverage Liage Limitatimitations Maons May Appy Apply. Sly. See Yoee Your Polur Policy Foicy Form form for Detr Details.ails.
American Bankers Insurance Company of Florida99050779622017 06/11/2018 ASULOG_AGT_MS_ _000000914570
99050779622018
American Bankers Insurance Company of FloridaAmerican Bankers Insurance Company of FloridaAmerican Bankers Insurance Company of FloridaScottsdale, AZ 85261-4337Scottsdale, AZ 85261-4337
Standard PolicyStandard Policy
These Declarations are effectiveas of: 10/18/2018 at 12:01 AM
Renewal
For payment status, call: (800) 423-4403For payment status, call: (800) 423-440310/18/2018 To 10/18/201910/18/2000
RCBAP
ProduProducer Ncer Name aame and Mnd Mailinailing Addg Address:ress:ASSUREDPARTNERS OF FLORIDA, LLC300 COLONIAL CENTER PARKWAY, STE 270LAKE MARY, FL 32746
990507796210111
Agent/Agency#: 10464-00219-000Flood Service CenterP.O. Box 8695 Kalispell MT 59904-8695(407)440-1466
SHOREWOOD COMMUNITY ASSN INC5505 N ATLANTIC AVE STE 207COCOA BEACH, FL 32931-5116
609 SHOREWOOD DR BLDG DCAPE CANAVERAL, FL 32920-5066
NInsured
Other ResidentialThree or More FloorsElevated Without EnclosureHigh RiseMain House
AE12 5094 0364 G 2
CAPE CANAVERAL, CITY OF YNo Includes Addition(s) and Extension(s)Includes Addition(s) and Extension(s)
Post-Firm ConstructionPost-Firm Construction $9,528,280Regular 32
DiscouDiscountnt8,000,000 .550 / .046 1,250 13- 4,550.00 4,550.00
6.00
683.00
581.00
250.00
2,000.00.00
.00
6,704.00
THIS IS AN ELEVATED BUILDING. COVERAGE IS LIMITED BELOW THELOWEST ELEVATED FLOOR. SEE PROPERTY NOT COVERED IN STANDARDFLOOD INSURANCE POLICY.
CoverCoverage Liage Limitatimitations Maons May Appy Apply. Sly. See Yoee Your Polur Policy Foicy Form form for Detr Details.ails.
American Bankers Insurance Company of Florida99050779622018 09/03/2018 ASULOG_AGT_MS_ _000001137003
14160158952017
American Bankers Insurance Company of FloridaAmerican Bankers Insurance Company of FloridaAmerican Bankers Insurance Company of FloridaScottsdale, AZ 85261-4337Scottsdale, AZ 85261-4337
Standard PolicyStandard Policy
These Declarations are effectiveas of: 06/01/2018 at 12:01 AM
Revised Declaration
For payment status, call: (800) 423-4403For payment status, call: (800) 423-440310/30/2017 To 10/30/201810/30/2000
RCBAP
ProduProducer Ncer Name aame and Mnd Mailinailing Addg Address:ress:ASSUREDPARTNERS OF FLORIDA, LLC300 COLONIAL CENTER PARKWAY, STE 270LAKE MARY, FL 32746
141601589510111
Agent/Agency #: 10464-00219-000Flood Service CenterP.O. Box 8695 Kalispell MT 59904-8695(407)440-1466
SHOREWOOD COMMUNITY ASSN INC5505 N ATLANTIC AVE STE 207COCOA BEACH, FL 32931-5116
602 SHOREWOOD DR BLDG ACAPE CANAVERAL, FL 32920-5071
NInsured
Other ResidentialThree or More FloorsSlab On GradeHigh RiseCONDOMINIUM
X X12 5094 0363 G N/A
CAPE CANAVERAL, CITY OF NNo Includes Addition(s) and Extension(s)Includes Addition(s) and Extension(s)
Post-Firm ConstructionPost-Firm Construction $6,661,000Regular 24
DiscouDiscountnt6,000,000 1.290 / .071 1,250 13- 6,381.00 6,381.00
5.00
319.00
910.00
250.00
2,000.00.00
.00
9,227.00CoverCoverage Liage Limitatimitations Maons May Appy Apply. Sly. See Yoee Your Polur Policy Foicy Form form for Detr Details.ails.
American Bankers Insurance Company of Florida14160158952017 06/11/2018 ASULOG_AGT_MS_ _000000914572
14160158952018
American Bankers Insurance Company of FloridaAmerican Bankers Insurance Company of FloridaAmerican Bankers Insurance Company of FloridaScottsdale, AZ 85261-4337Scottsdale, AZ 85261-4337
Standard PolicyStandard Policy
These Declarations are effectiveas of: 10/30/2018 at 12:01 AM
Renewal
For payment status, call: (800) 423-4403For payment status, call: (800) 423-440310/30/2018 To 10/30/201910/30/2000
RCBAP
ProduProducer Ncer Name aame and Mnd Mailinailing Addg Address:ress:ASSUREDPARTNERS OF FLORIDA, LLC300 COLONIAL CENTER PARKWAY, STE 270LAKE MARY, FL 32746
141601589510111
Agent/Agency#: 10464-00219-000Flood Service CenterP.O. Box 8695 Kalispell MT 59904-8695(407)440-1466
SHOREWOOD COMMUNITY ASSN INC5505 N ATLANTIC AVE STE 207COCOA BEACH, FL 32931-5116
602 SHOREWOOD DR BLDG ACAPE CANAVERAL, FL 32920-5071
NInsured
Other ResidentialThree or More FloorsSlab On GradeHigh RiseCONDOMINIUM
X X12 5094 0363 G N/A
CAPE CANAVERAL, CITY OF NNo Includes Addition(s) and Extension(s)Includes Addition(s) and Extension(s)
Post-Firm ConstructionPost-Firm Construction $6,661,000Regular 24
DiscouDiscountnt6,000,000 1.300 / .072 1,250 13- 6,456.00 6,456.00
6.00
323.00
921.00
250.00
2,000.00.00
.00
9,310.00CoverCoverage Liage Limitatimitations Maons May Appy Apply. Sly. See Yoee Your Polur Policy Foicy Form form for Detr Details.ails.
American Bankers Insurance Company of Florida14160158952018 09/03/2018 ASULOG_AGT_MS_ _000001137002
99015451282018
American Bankers Insurance Company of FloridaAmerican Bankers Insurance Company of FloridaAmerican Bankers Insurance Company of FloridaScottsdale, AZ 85261-4337Scottsdale, AZ 85261-4337
Standard PolicyStandard Policy
These Declarations are effectiveas of: 11/05/2018 at 12:01 AM
Renewal
For payment status, call: (800) 423-4403For payment status, call: (800) 423-440311/05/2018 To 11/05/201911/05/2001
RCBAP
ProduProducer Ncer Name aame and Mnd Mailinailing Addg Address:ress:ASSUREDPARTNERS OF FLORIDA, LLC300 COLONIAL CENTER PARKWAY, STE 270LAKE MARY, FL 32746
015451280110111
Agent/Agency#: 10464-00219-000Flood Service CenterP.O. Box 8695 Kalispell MT 59904-8695(407)440-1466
SHOREWOOD COMMUNITY ASSN INC5505 N ATLANTIC AVE STE 207COCOA BEACH, FL 32931-5116
603 SHOREWOOD DRCAPE CANAVERAL, FL 32920-5087
NInsured
Other ResidentialThree or More FloorsSlab On GradeHigh RiseCONDOMINIUM
X X12 5094 0363 G N/A
CAPE CANAVERAL, CITY OF NNo Includes Addition(s) and Extension(s)Includes Addition(s) and Extension(s)
Post-Firm ConstructionPost-Firm Construction $6,920,019Regular 24
DiscouDiscountnt6,000,000 1.300 / .072 1,250 13- 6,456.00 6,456.00
6.00
323.00
921.00
250.00
2,000.00.00
.00
9,310.00CoverCoverage Liage Limitatimitations Maons May Appy Apply. Sly. See Yoee Your Polur Policy Foicy Form form for Detr Details.ails.
American Bankers Insurance Company of Florida99015451282018 09/25/2018 ASULOG_AGT_MS_ _000001201306
99015451282017
American Bankers Insurance Company of FloridaAmerican Bankers Insurance Company of FloridaAmerican Bankers Insurance Company of FloridaScottsdale, AZ 85261-4337Scottsdale, AZ 85261-4337
Standard PolicyStandard Policy
These Declarations are effectiveas of: 06/01/2018 at 12:01 AM
Revised Declaration
For payment status, call: (800) 423-4403For payment status, call: (800) 423-440311/05/2017 To 11/05/201811/05/2001
RCBAP
ProduProducer Ncer Name aame and Mnd Mailinailing Addg Address:ress:ASSUREDPARTNERS OF FLORIDA, LLC300 COLONIAL CENTER PARKWAY, STE 270LAKE MARY, FL 32746
015451280110111
Agent/Agency #: 10464-00219-000Flood Service CenterP.O. Box 8695 Kalispell MT 59904-8695(407)440-1466
SHOREWOOD COMMUNITY ASSN INC5505 N ATLANTIC AVE STE 207COCOA BEACH, FL 32931-5116
603 SHOREWOOD DRCAPE CANAVERAL, FL 32920-5087
NInsured
Other ResidentialThree or More FloorsSlab On GradeHigh RiseCONDOMINIUM
X X12 5094 0363 G N/A
CAPE CANAVERAL, CITY OF NNo Includes Addition(s) and Extension(s)Includes Addition(s) and Extension(s)
Post-Firm ConstructionPost-Firm Construction $6,661,000Regular 24
DiscouDiscountnt6,000,000 1.290 / .071 1,250 13- 6,381.00 6,381.00
5.00
319.00
910.00
250.00
2,000.00.00
.00
9,227.00CoverCoverage Liage Limitatimitations Maons May Appy Apply. Sly. See Yoee Your Polur Policy Foicy Form form for Detr Details.ails.
American Bankers Insurance Company of Florida99015451282017 06/11/2018 ASULOG_AGT_MS_ _000000914566