Selective Flood Insurance Renewal Bill

--- ## Page 1 SELECTIVE INSURANCE® ### Your Flood Renewal Bill as of November 15, 2025 **Payment due/expiration date:** 01/21/2026 12:01 am To renew, simply choose one of the policy coverage options shown below and pay the premium before the policy expires on 01/21/2026. You should retain this copy for your records. ### Your account information **Account name:** JOHAN JONGSMA **Policy number:** FLD5354528 **Mortgage loan number:** 4036121330 **Payor:** JOHAN JONGSMA **Property Address:** 851 BRIGHTWATERS BLVD NE ST PETERSBURG, FL 33704-3719 ### Contact us SELECTIVE FLOOD OPERATIONS CUSTOMER SERVICE AT 877-348-0552 OR HUB INTERNATIONAL MIDWEST LIMITED CORP AT (800) 797-0441 ### Ways to pay - customer.myselectiveflood.com - 877-348-0552 (credit card or echeck only) - mail in check - made payable to Selective --- ### IMPORTANT NOTICE **CHECK YOUR PAYMENT DUE DATE** Please review the payment due/expiration date listed on your renewal bill and submit your payment promptly to avoid a potential lapse in coverage. --- ### Policy coverage options **Location:** 851 BRIGHTWATERS BLVD NE ST PETERSBURG, FL 33704-3719 See reverse side for new deductible options | | PREMIUM | COVERAGE AMOUNTS | | DEDUCTIBLES | | |---|---|---|---|---|---| | | | **BUILDING** | **CONTENTS** | **BUILDING** | **CONTENTS** | | **Option A** | Current coverage | $6,891.00 | $250,000.00 | N/A | $10,000.00 | N/A | | **Option B** | Increased coverage | N/A | N/A | N/A | N/A | N/A | PAGE 1 OF 2 --- HUB INTERNATIONAL MIDWEST LIMITED CORP 4830 WEST KENNEDY BLVD SUITE 850 TAMPA, FL 33609 SELECTIVE INSURANCE® | YOUR POLICY RENEWAL DATE | POLICY NUMBER | |---|---| | 01/21/2026 | FLD5354528 | JOHAN JONGSMA 851 BRIGHTWATERS BLVD NE ST PETERSBURG, FL 33704-3719 Select one: ○ OPTION A **$6,891**   ○ OPTION B **N/A** **Amount enclosed:** $________ See reverse for ways to pay. 000032593764 000263018059 9 2 --- ## Page 2 ### Information about your policy **Bill Payment Information** - Payment is due before the expiration date noted on this bill. - If Selective receives payment 30 or more days after the expiration date on your bill, a lapse in coverage will occur, and a 30-day waiting period applied. - A lapse in coverage could result in the loss of the **Annual Increase Cap Discount**. To determine if your policy has this discount, review your mailed declarations page or visit customer.myselectiveflood.com to view it online. **Coverage/Policy Information** - If your NFIP Flood policy protects your primary residence, you are encouraged to insure your property for at least 80% of the home's replacement cost to help prevent coverage issues at the time of a claim. - Please take 5 minutes to review your policy information for accuracy. At least once a year, please also verify your name/address, mortgage information, and coverages with your insurance agent to help prevent delays following a loss. **Claims Information** Experience a loss? You can report and track your claim status 24/7 at Customer.myselectiveflood.com or call 877-348-0552. Visit Selectiveflood.com for information about claims and our Perks Program, which offers discounts on products and services that help protect your home. **Overnight Mailing Address** Lockbox Services - Box #2747 Selective Insurance 2005 Market Street, 5th Floor Philadelphia, PA 19103-7042 *This policy is not subject to cancellation for reasons other than those set forth in the National Flood Insurance Program rules and regulations.* PAGE 2 OF 2 ### AVOID A LAPSE IN COVERAGE AND POTENTIAL INCREASES IN FLOOD INSURANCE RATES Visit customer.myselectiveflood.com to pay your bills and more: - Report a claim - Sign up for paperless documents - See policy information - Take advantage of our perks program discounts and more. ### Ways to pay **customer.myselectiveflood.com** **877-348-0552** (credit card or echeck only) To pay by check, complete the reverse side and return this portion with your payment in the enclosed envelope. Please make your check payable to Selective and include your policy number on your check. **Note:** The use of Certified Mail may reduce mailing time and expedite the issuance of your policy. --- **SELECTIVE INSURANCE®** SELECTIVE INSURANCE PO Box 782747 Philadelphia, PA 19178-2747