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Home My WebLink About326202 FIDELITY NATIONAL PROPERTY - PURCHASE ORDER - 4404148City of Fort Collins Page Number: 1 Date: 07/02/04 Purchase Order Number: 4404148 Delivery Date: 07/02/04 Buyer: O'NEILL,JAMES Purchase Order number must a pear on invoices, packing lists, labels, bills of lading, and all correspondence. Note: Line Qty/Units Description Extended Price 1 1 lot 2,070.00 olicy # 30099680782003 2 1 lot 2,121.00 Policy 30099681022003 3 1 lot 630.00 Policy # 3009 81102003 4 1 lot 1,109.00 Policy # 3009968086 03 5 1 lot 4,630.00 Policy # 30099680942003 City of Fort Cofflnj Director of Purchasing and Risk Management This order is fthalid over $2000 unless signed by James B. O'Neill II, CPPO, FNIGP City of Fort Collins Purchasing, PO Box 580, Fort Collins, CO 80522-0580 Phone: 970-221-6775 Fax: 970-221-6707 Email: info@ci.fort-collins.co.us Total \ $10,560.00 City of Fort Collins Accounting Department PO Box 580 Fort Collins, CO 80522-0580 Print Date 6/18/2004 POLICY NUMBER 30099680942003 FIDELITY NATIONAL PROPERTY AND CASUALTY INSURANCE COMPANY FLOOD INSURANCE RENEWAL PREMIUM NOTICE MPORTANT: THIS FLOOD INSURANCE POLICY WILL EXPIRE: 8/17/2004 PAYOR NAME & MAILING ADDRESS PRODUCER NAME & MAILING ADDRESS IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII STEWART ELLENBERG CITY OF FT COLLINS PO BOX 580 FORT COLLINS, CO 80522-0580 PRODUCER#:08495-08063-000-00001 GALLAGHER, ARTHUR J & CO-DENVER 6399 S FIDDLERS GREEN CIR STE 200 GREENWOOD VILLAGE, CO 801114974 (303)773-9999 INSURED NAME LOCATION OF INSURED PROPERTY MAINT BLDG STEWART ELLENBERG 920 E MULBERRY ST CITY OF FT COLLINS FORT COLLINS, CO 80524-0000 If you are no longer responsible for the payment of the premium on this policy please notify your agent. COVERAGE DEDUCTIBLE PREMIUM OPTIONS BUILDING BUILDING 1. Option 1 provides coverage at $500,000 $5,000 amounts of insurance currently in 1 $4,555.00 force. CONTENTS CONTENTS $472,200 $5,000 COVERAGE DEDUCTIBLE PREMIUM OPTIONS BUILDING BUILDING 2. Option 2 includes an increase in insurance to allow for increased $500,000 $5,000 property value. 2 $4,630.00 CONTENTS CONTENTS $495,800 $5,000 FOR ANY QUESTIONS REGARDING DEDUCTIBLE OR COVERAGE AMOUNTS PLEASE CONTACT YOUR AGENT. Detach and return bottom remittance portion with your payment in the enclosed envelope. INSURED NAME & MAILING ADDRESS STEWART ELLENBERG PRODUCER NUMBER 08495-08063-000-00001 CITY OF FT COLLINS PO BOX 580 POLICY NUMBER 30099680942003 FORT COLLINS, CO 80522-0580 For Credit Card Payment. please call (866) 667-9739 RENEWAL EFFECTIVE DATE 8/17/2004 OR Complete the information below PAYMENT DUE BY 8/10/2004 ❑ VISA ❑ MASTERCARD ❑ AMERICAN EXPRESS SELECT COVERAGE OPTION CARD NUMBER EXPIRATION DATE: �n [:1$4,555 ❑ $4,630 Make WSJ ayable to: FIDELITY NATIONAL PROPERTY &CASUALTY INS CO CARDHOLDERNAME CARDHOLDER BILLING ADDDRESS CARDHOLDER PHONE NUMBER CARDHOLDER BILLING ZIP CODE CARDHOLDER SIGNATURE: This policy is not subject to cancellation for reasons other than those set forth in the National Flood Insurance program rules and regulations. In matters involving billing disputes, eancellation is not available other than for brLrn' g processing error a fraud. (IIIII IIIIIIIIIIIIIII II IIIIIIIIIIIIIIII IIIIIIIIIIIIIII1111IIII FIDELITY NATIONAL PROPERTY & CASUALTY INS CO Flood Insurance Processing Center PO Box 650346 Dallas, TX 75265-0346 anng9LAn9u?nn71.L1;7AnnnuSGSnnnu[.an-I. E)e Omura Nopem imu Casuaas An Wa�C.. Date of Mailing: 06/18/2004 STEWART ELLENBERG CITY OF FT COLLINS PO BOX 580 FORT COLLINS, CO 80522-0580 FIDELITY NATIONAL INSURANCE COMPANY Re: Notice of Non -Renewal of Omaha Property and Casualty Insurance Company Policy Number: 30099680942003 Expiration Date: 08/17/2004 at 12:01 a.m. and Offer of Renewal with Fidelity National Property and Casualty Insurance Company. Dear Policyholder: This is to notify you that Omaha Property and Casualty Insurance Company (OPAC) will not be renewing your above referenced flood policy. However, OPAC is pleased to announce it has sold it's flood policy renewal rights to Fidelity National Insurance Services Inc (FNIS) the nations largest provider of flood insuranceFNIS is offering you continued (FNPAC) an experienced nationwide carrier of flood insurance. The reason for the non -renewal of your policy is OPAC is withdrawing from the flood insurance business and has ceased issuing all flood policies in all states. To accept this offer and receive your new flood policy, please return the lower portion of the Renewal Offer Bill with your payment to FNIS in the enclosed envelope. By accepting this offer, you are directing OPAC to release your personal information in its possession to FNIS, and for FNPAC to forward your replacement policy. OPAC has not released any of your personal information to FNIS/FNPAC. Please review your new policy upon receipt for specific coverage. The rates and coverages provided are set by the National Flood Insurance Program, therefore the continuation of coverage with FNIS is identical to that which would have been offered had OPAC not withdrawn. FNIS is also dedicated to providing you with the same superior claims service as well. FNIS/FNPAC's Privacy Notice is included. Your agent is aware of this change and if you have any questions regarding this offer, please call the Customer Service Department at 800-323-8841. We at OPAC have very much appreciated your business and encourage you to promptly accept Fidelity National Property and Casualty Insurance Company renewal offer for continued uninterrupted and identical coverage for your flood insurance needs. Martin W. Dourney President -CEO Omaha Property and Casualty Insurance Company PD tigov Print Date 6/18/2004 —PA ER 30099680782003 FIDELITY NATIONAL PROPERTY AND CASUALTY INSURANCE COMPANY FLOOD INSURANCE RENEWAL PREMIUM NOTICE IMPORTANT: THIS FLOOD INSURANCE POLICY WILL EXPIRE: 8/17/2004 PAYOR NAME & MAILING ADDRESS PRODUCER NAME & MAILING ADDRESS II111111111111111111111111111111111111111111111111111111111111 STEWART ELLENBERG CITY OF FT COLLINS PO BOX 580 FORT COLLINS, CO 80522-0580 PRODUCER#:08495-08063-000-00001 GALLAGHER, ARTHUR J & CO-DENVER 6399 S FIDDLERS GREEN CIR STE 200 GREENWOOD VILLAGE, CO 80I11-4974 (303)773-9999 INSURED NAME LOCATION OF INSURED PROPERTY MCC BLDG STEWART ELLENBERG 920 E MULBERRY ST CITY OF FT COLLINS FORT COLLINS, CO 80524-0000 If you are no longer responsible for the payment of the premium on this policy please notify your agent. COVERAGE DEDUCTIBLE PREMIUM OPTIONS BUILDING BUILDING 1. Opt'uon 1 provides coverage at $99,000 $5,000 amounts of insurance auFrently in 1 $1,994.00 force. *_ CONTENTS CONTENTS $157,500 $5,000 ` : w COVERAGE DEDUCTIBLE PREMIUM OPTIONS BUILDING BUILDING 2. Option 2 includes an increase in insurance to allow for increased $108,900 $5,000 property value. 2 CONTENTS CONTENTS D,070.00 $165,400 $5,000 FOR ANY QUESTIONS REGARDING DEDUCTIBLE OR COVERAGE AMOUNTS PLEASE CONTACT YOUR AGENT. Detach and return bottom remittance portion with your payment in the enclosed envelope. INSURED NAME & MAILING ADDRESS STEWART ELLENBERG PRODUCER NUMBER 08495-08063-000-00001 CITY OF FT COLLINS PO BOX 580 POLICY NUMBER 30099680782003 FORT COLLINS, CO 80522-0580 For Credit Card Payment, please call (866) 667-9739 RENEWAL EFFECTIVE DATE 8/17/2004 OR Complete the information below PAYMENT DUE BY 8/10/2004 ❑ VISA ❑ MASTERCARD ❑ AMERICAN EXPRESS SELECT COVERAGE OPTION CARD NUMBER EXPIRATION DATE: ❑ $1,994 ❑ $2,070 �W J Make ayable to: FIDELITY NATIONAL PROPERTY &CASUALTY INS CO CARDHOLDER NAME CARDHOLDER PHONE NUMBER CARDHOLDER BILLING ADDDRESS CARDHOLDER BILLING ZIP CODE CARDHOLDER SIGNATURE: This policy is not subject to cancellation for reasons other than those set forth in the National Flood Insurance progratn rules and regulations. In nutters involving billing disputes, cancellation is not available other than for billing Processing error or fraud. 73nnv4Lan'3aDnnMT I_c iannm.vtat,nnnnn-3n,) I I111111111111111111111111111111111111111111111111111111111111 FIDELITY NATIONAL PROPERTY & CASUALTY INS CO Flood Insurance Processing Center PO Box 650346 Dallas, TX 75265-0346 E)o Omaha PRORM ano Cmums An Wwa h.c..p" Date of Mailing: 06/18/2004 STEWART ELLENBERG CITY OF FT COLLINS PO BOX 580 FORT COLLINS, CO 80522-0580 FIDELITY NATIONAL INSURANCE COMPANY Re: Notice of Non -Renewal of Omaha Property and Casualty Insurance Company Policy Number: 30099680782003 Expiration Date: 08/17/2004 at 12:01 a.m. and Offer of Renewal with Fidelity National Property and Casualty Insurance Company. Dear Policyholder: This is to notify you that Omaha Property and Casualty Insurance Company (OPAC) will not be renewing your above referenced flood policy. However, OPAC is pleased to announce it has sold it's flood policy renewal rights to Fidelity National Insurance Services. Inc. (FNIS). the nations largest provider of flood insurance. FNIS is offering you continued (FNPAC) an experienced nationwide carrier of flood insurance. The reason for the non -renewal of your policy is is withdrawing from the flood insurance business and has ceased issuing all flood policies in all states. To accept this offer and receive your new flood policy, please return the lower portion of the Renewal Offer Bill with your payment to FNIS in the enclosed envelope. By accepting this offer, you are directing OPAC to release your personal information in its possession to FNIS, and for FNPAC to forward your replacement policy. OPAC has not released any of your personal information to FNIS/FNPAC. Please review your new policy upon receipt for specific coverage. The rates and coverages provided are set by the National Flood Insurance Program, therefore the continuation of coverage with FNIS is identical to that which would have been offered had OPAC not withdrawn. FNIS is also dedicated to providing you with the same superior claims service as well. FNIS/FNPAC's Privacy Notice is included. Your agent is aware of this change and if you have any questions regarding this offer, please call the Customer Service Department at 800-323-8841. We at OPAC have very much appreciated your business and encourage you to promptly accept Fidelity National Property and Casualty Insurance Company renewal offer for continued uninterrupted and identical coverage for your flood insurance needs. Martin W. Downey President -CEO Omaha Property and Casualty Insurance Company Print Date 6/18/2004 POLICY NUMBER 30099681022003 FIDELITY NATIONAL PROPERTY AND CASUALTY INSURANCE COMPANY FLOOD INSURANCE RENEWAL PREMIUM NOTICE IMPORTANT: THIS FLOOD INSURANCE POLICY WILL EXPIRE: 8/17/2004 PAYOR NAME & MAILING ADDRESS PRODUCER NAME & MAILING ADDRESS IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII STEWART ELLENBERG CITY OF FT COLLINS PO BOX 580 FORT COLLINS, CO 80522-0580 PRODUCER#:08495-08063-000-00001 GALLAGHER, ARTHUR J & CO-DENVER 6399 S FIDDLERS GREEN CIR STE 200 GREENWOOD VILLAGE, CO 80111-4974 (303)773-9999 INSURED NAME LOCATION OF INSURED PROPERTY FINAL CLARIFIER STEWART ELLENBERG 920 E MULBERRY ST CITY OF FT COLLINS FORT COLLINS, CO 80524-0000 If you are no longer responsible for the payment of the premium on this policy please notify your agent. COVERAGE DEDUCTIBLE PREMIUM OPTIONS BUILDING BUILDING 1. Option 1 provides coverage at $500,000 $5,000 amounts of insurance currently in 1 $2,121.00 force. CONTENTS CONTENTS $0 $0 COVERAGE DEDUCTIBLE PREMIUM OPTIONS 2. Option 2 includes an increase in BUILDING BUILDING insurance to allow for increased $500,000 $5,000 property value. 2 $2,121.00 CONTENTS CONTENTS $0 $0 FOR ANY QUESTIONS REGARDING DEDUCTIBLE OR COVERAGE AMOUNTS PLEASE CONTACT YOUR AGENT. Detach and return bottom remittance portion with your payment in the enclosed envelope. INSURED NAME &MAILING ADDRESS STEWART ELLENBERG PRODUCER NUMBER 08495-08063-000-00001 CITY OF FT COLLINS PO BOX 580 POLICY NUMBER 30099681022003 FORT COLLINS, CO 80522-0580 RENEWAL EFFECTIVE DATE 8/17/2004 For Credit Cazd Payment Dlease call (866) 667-9739 OR Complete the information below PAYMENT DUE BY 8/ 10/2004 ❑ VISA ❑ MASTERCARD ❑ AMERICAN EXPRESS SELECT COVERAGE OPTION CARD NUMBER: EXPIRATION DATE: n El$2,121 [:1$2,121 L�L�J.J j Make check payable to: FIDELITY NATIONAL PROPERTY &CASUALTY INS CO CARDHOLDER NAME CARDHOLDER PHONE NUMBER CARDHOLDER BILLING ADDDRESS CARDHOLDER BILLING ZIP CODE CARDHOLDER SIGNATURE: This policy it not subject to cancellation for reasons other than those set forth in the National Flood Insumuce program rules and regulations. In matters involving billing disputes, cancellation is not available other than for billing processing error or fraud. III II IIIIIIIIIIIIIII II IIIIIII IIIIIII II IIIIIIIIIIIIIIIIIIIIIIII FIDELITY NATIONAL PROPERTY & CASUALTY INS CO Flood Insurance Processing Center PO Box 650346 Dallas, TX 75265-0346 innggLnl.naann-.11L r7Annn?i.al.nnnal.7l.7 E)o Omani PRORM inn Casuals An Waa h.c� Date of Mailing: 06/18/2004 STEWART ELLENBERG CITY OF FT COLLINS PO BOX 580 FORT COLLINS, CO 80522-0580 FIDELITY NATIONAL INSURANCE COMPANY Re: Notice of Non -Renewal of Omaha Property and Casualty Insurance Company Policy Number: 30099681022003 Expiration Date: 08/17/2004 at 12:01 a.m. and Offer of Renewal with Fidelity National Property and Casualty Insurance Company. Dear Policyholder: This is to notify you that Omaha Property and Casualty Insurance Company (OPAC) will not be renewing your above referenced flood policy. However, OPAC is pleased to announce it has sold it's flood policy renewal rights to Fidelity National Insurance Services. Inc. (FNIS). the nations largest provider of flood insurance. FNIS is offering you continued uninterrupted flood coverage for your property through Fidelity National Property and Casualty Insurance Company (FNPAC) an experienced nationwide carrier of flood insurance. The reason for the non -renewal of your policy is OPAC is withdrawing from the flood insurance business and has ceased issuing all flood policies in all states. To accept this offer and receive your new flood policy, please return the lower portion of the Renewal Offer Bill with your payment to FNIS in the enclosed envelope. By accepting this offer, you are directing OPAC to release your personal information in its possession to FNIS, and for FNPAC to forward your replacement policy. OPAC has not released any of your personal information to FNIS/FNPAC. Please review your new policy upon receipt for specific coverage. The rates and coverages provided are set by the National Flood Insurance Program, therefore the continuation of coverage with FNIS is identical to that which would have been offered had OPAC not withdrawn. FNIS is also dedicated to providing you with the same superior claims service as well. FNIS/FNPAC's Privacy Notice is included. Your agent is aware of this change and if you have any questions regarding this offer, please call the Customer Service Department at 800-323-8841. We at OPAC have very much appreciated your business and encourage you to promptly accept Fidelity National Property and Casualty Insurance Company renewal offer for continued uninterrupted and identical coverage for your flood insurance needs. Martin W. Dourney President -CEO Omaha Property and Casualty Insurance Company Print Date 6/ 18/2004 POLICY NUMBER 30099681102003 FIDELITY NATIONAL PROPERTY AND CASUALTY INSURANCE COMPANY FLOOD INSURANCE RENEWAL PREMIUM NOTICE IMPORTANT: THIS FLOOD INSURANCE POLICY WILL EXPIRE: 8/17/2004 PAYOR NAME & MAILING ADDRESS PRODUCER NAME & MAILING ADDRESS I I I I I I I I II I I I II I I I I II I I I I I II II I I I I I II I I I I II I I II I I I I II II I I I II STEWART ELLENBERG CITY OF FT COLLINS PO BOX 580 FORT COLLINS, CO 80522-0580 PRODUCER#:08495-08063-000-00001 GALLAGHER, ARTHUR I & CO-DENVER 6399 S FIDDLERS GREEN CIR STE 200 GREENWOOD VILLAGE, CO 80111 4974 (303)773-9999 INSURED NAME LOCATION OF INSURED PROPERTY UV DISINFECTION STEWART ELLENBERG 920 E MULBERRY ST CITY OF FT COLLINS FORT COLLINS, CO 80524-0000 If you are no longer responsible for the payment of the premium on this policy please notify your agent. COVERAGE DEDUCTIBLE PREMIUM OPTIONS BUILDING BUILDING 1. Option 1 provides coverage at $250,500 $5,000 amounts of insurance currently in force. CONTENTS CONTENTS 1 $608.00 $263,600 $5,000 2. Option 2 includes an increase in insurance to allow for increased COVERAGE DEDUCTIBLE PREMIUM OPTIONS BUILDING $275,600 BUILDING $5,000 property value. CONTENTS CONTENTS 2 $630.00 $276,800 $5,000 FOR ANY QUESTIONS REGARDING DEDUCTIBLE OR COVERAGE AMOUNTS PLEASE CONTACT YOUR AGENT. Detach and return bottom remittance portion with your payment in the enclosed envelope. INSURED NAME &MAILING ADDRESS STEWART ELLENBERG PRODUCER NUMBER 08495-08063-000-00001 CITY OF FT COLLINS PO BOX 580 POLICY NUMBER 30099681102003 FORT COLLINS, CO 80522-0580 For Credit Card Payment. please call (866)667-9739 RENEWAL EFFECTIVE DATE 8/17/2004 OR Complete the information below PAYMENT DUE BY 8/10/2004 ❑ VISA ❑ MASTERCARD ❑ AMERICAN EXPRESS SELECT COVERAGE OPTION CARD NUMBER: EXPIRATION DATE: ❑ $C08 ❑ $630 El � � � Make check payable to: FIDELITY NATIONAL PROPERTY &CASUALTY INS CO CARDHOLDERNAME CARDHOLDER PHONE NUMBER CARDHOLDER BILLING ADDDRESS CARDHOLDER BILLING ZIP CODE CARDHOLDER SIGNATURE: This policy is not subject to cancellation for reasons other then those set forth m the National Flood Insursnce program rules and regulations. In matters involving billing disputes, cancellation is not available other than for billing processing error or fraud. I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1181111111 II 11111111 FIDELITY NATIONAL PROPERTY & CASUALTY INS CO Flood Insurance Processing Center PO Box 650346 Dallas, TX 75265-0346 -innaar_ni.i.nannai.L c'7nnnnnLnnnnnnL-inn E)o 01111alla PROPeRPJ AMul &o hF C ryrq Date of Mailing: 06/18/2004 STEWART ELLENBERG CITY OF FT COLLINS PO BOX 580 FORT COLLINS, CO 80522-0580 FIDELITY NATIONAL INSURANCE COMPANY Re: Notice of Non -Renewal of Omaha Property and Casualty Insurance Company Policy Number: 30099681102003 Expiration Date: 08/17/2004 at 12:01 a.m. and Offer of Renewal with Fidelity National Property and Casualty Insurance Company. Dear Policyholder: This is to notify you that Omaha Property and Casualty Insurance Company (OPAC) will not be renewing your above referenced flood policy. However, OPAC is pleased to announce it has sold it's flood policy renewal rights to Fidelity (FNPAC) an experienced nationwide carrier of flood insurance. The reason for the non -renewal of your policy is OPAC is withdrawing from the flood insurance business and has ceased issuing all flood policies in all states. To accept this offer and receive your new flood policy, please return the lower portion of the Renewal Offer Bill with your payment to FNIS in the enclosed envelope. By accepting this offer, you are directing OPAC to release your personal information in its possession to FNIS, and for FNPAC to forward your replacement policy. OPAC has not released any of your personal information to FNIS/FNPAC. Please review your new policy upon receipt for specific coverage. The rates and coverages provided are set by the National Flood Insurance Program, therefore the continuation of coverage with FNIS is identical to that which would have been offered had OPAC not withdrawn. FNIS is also dedicated to providing you with the same superior claims service as well. FNIS/FNPAC's Privacy Notice is included. Your agent is aware of this change and if you have any questions regarding this offer, please call the Customer Service Department at 800-323-8841. We at OPAC have very much appreciated your business and encourage you to promptly accept Fidelity National Property and Casualty Insurance Company renewal offer for continued uninterrupted and identical coverage for your flood insurance needs. Martin W. Dourney President -CEO Omaha Property and Casualty Insurance Company Print Date 6/18/2004 POLICY NUMBER: 3009%80862003 FIDELITY NATIONAL PROPERTY AND CASUALTY INSURANCE COMPANY FLOOD INSURANCE RENEWAL PREMIUM NOTICE HA4PORTANT: THIS FLOOD INSURANCE POLICY WILL EXPIRE: 8/17/2004 PAYOR NAME & MAILING ADDRESS PRODUCER NAME & MAILING ADDRESS I111111111111111111111111111111111111111111111111111111111111 STEWART ELLENBERG CITY OF FT COLLINS PO BOX 580 FORT COLLINS, CO 80522-0580 PRODUCER#:08495-08063-000-00001 GALLAGHER, ARTHUR I & CO-DENVER 6399 S FIDDLERS GREEN CIR STE 200 GREENWOOD VILLAGE, CO 80111A974 (303)773-9999 INSURED NAME LOCATION OF INSURED PROPERTY WASTE PUMP STEWART ELLENBERG 920 E MULBERRY ST CITY OF FT COLLINS FORT COLLINS, CO 80524-0000 If you are no longer responsible for the payment of the premium on this policy please notify your agent. COVERAGE DEDUCTIBLE PREMIUM OPTIONS BUILDING BUILDING 1. Option 1 provides coverage at $192,200 $5,000 amounts of insurance currently in 1 $1,041.00 force. CONTENTS CONTENTS $0 $0 COVERAGE DEDUCTIBLE PREMIUM OPTIONS BUILDING BUILDING 2. Option 2 includes an increase in insurance to allow for increased $211,400 $5,000 property value. 2 $1,109.00 CONTENTS CONTENTS $0 $0 FOR ANY QUESTIONS REGARDING DEDUCTIBLE OR COVERAGE AMOUNTS PLEASE CONTACT YOUR AGENT. Detach and return bottom remittance portion with your payment in the enclosed envelope. INSURED NAME & MAILING ADDRESS STEWART ELLENBERG PRODUCER NUMBER 08495-08063-000-00001 CITY OF FT COLLINS PO BOX 580 POLICY NUMBER 30099680862003 FORT COLLINS, CO 80522-0580 For Credit Card Payment please call (866)667-9739 RENEWAL EFFECTIVE DATE 8/17/2004 OR Complete the information below PAYMENT DUE BY 8/10/2004 ❑ VISA ❑ MASTERCARD ❑ AMERICAN EXPRESS SELECT COVERAGE OPTION CARD NUMBER: EXPIRATION DATE: ❑ $1,041 ❑ $1,109 Make checkpayable to: FIDELITY NATIONAL PROPERTY &CASUALTY INS CO CARDHOLDERNAME CARDHOLDER BILLING ADDDRESS CARDHOLDER PHONE NUMBER II111111111111111111111111111111111111111111111111111111111111 CARDHOLDER BILLING ZIP CODE CARDHOLDER SIGNATURE: This policy is not subject to cancellation for reasons other then those set forth in the National Flood Insurance program rules and regulations. In matters involving billing disputes, cancellation is not available other than for billing processing error or fraud. FIDELITY NATIONAL PROPERTY & CASUALTY INS CO Flood Insurance Processing Center PO Boa 650346 Dallas, TX 75265-0346 gnnqqLAnnLannqi.I_ s*?nnnni.nui.nnni.i.nq*7 E)e Omaha Noon aho Casaang An W a o .cw.p. Date of Mailing: 06/ 18/2004 STEWART ELLENBERG CITY OF FT COLLINS PO BOX 580 FORT COLLINS, CO 80522-0580 FIDELITY NATIONAL INSURANCE COMPANY Re: Notice of Non -Renewal of Omaha Property and Casualty Insurance Company Policy Number: 30099680862003 Expiration Date: 08/17/2004 at 12:01 a.m. and Offer of Renewal with Fidelity National Property and Casualty Insurance Company. Dear Policyholder: This is to notify you that Omaha Property and Casualty Insurance Company (OPAC) will not be renewing your above referenced flood policy. However, OPAC is pleased to announce it has sold it's flood policy renewal rights to Fidelity (FNPAC) an experienced nationwide carrier of flood insurance The reason for the non -renewal of your policy is OPAC is withdrawing from the flood insurance business and has ceased issuing all flood policies in all states. To accept this offer and receive your new flood policy, please return the lower portion of the Renewal Offer Bill with your payment to FNIS in the enclosed envelope. By accepting this offer, you are directing OPAC to release your personal information in its possession to FNIS, and for FNPAC to forward your replacement policy. OPAC has not released any of your personal information to FNIS/FNPAC. Please review your new policy upon receipt for specific coverage. The rates and coverages provided are set by the National Flood Insurance Program, therefore the continuation of coverage with FNIS is identical to that which would have been offered had OPAC not withdrawn. FNIS is also dedicated to providing you with the same superior claims service as well. FNIS/FNPAC's Privacy Notice is included. Your agent is aware of this change and if you have any questions regarding this offer, please call the Customer Service Department at 800-323-8841. We at OPAC have very much appreciated your business and encourage you to promptly accept Fidelity National Property and Casualty Insurance Company renewal offer for continued uninterrupted and identical coverage for your flood insurance needs. Martin W. Dourney President -CEO Omaha Property and Casualty Insurance Company