HomeMy WebLinkAboutClaim - SemenasMIDWEST CLAIMS SERVICE
CLAIM ACKNOWLEDGEMENT
1700 Opdyke Court, Auburn Hills, MI 48326 (800) 225 -6561 or (248) 371 -3100
www.midwestclaims.com
TODAY'S DATE: August 29, 2011
INSURED: OSHKOSH CITY OF
DATE OF INCIDENT: February 22, 2011 (OR CLAIMS MADE DATE
IF APPLICABLE)
CLAIMANT NAME: SEMENAS, JAMES B.
CLAIM NUMBER: 155835
DESCRIPTION: SEMENAS -1994 VOLVO- CLAIMANT ALLEGES WHILE PARKED ON WRIGHT
STREET 8t SCOTT AVENUE, IV SNOW PLOW DAMAGED VEHICLE.
This will acknowledge receipt of the above - referenced claim. The handling of this claim will
be assigned to:
Shannon Fike, Claims Adjuster
Direct Dial: 248 - 371 -3099
Email: SFike@midwestclaims.com
GENERAL NOTICE
Regarding Insurance Coverage, Scope and Limits: Please be advised that this acknowledgement
notice does not constitute a position regarding the existence and scope of insurance coverage.
The insurance carrier retains the right to limit or deny coverage in whole or in part in
accordance with the insurance policy and applicable law. Any claim of liability may expose an
insured to damages above the policy limits. Also, certain types of damages such as punitive
damages may not be afforded coverage under your policy. Please familiarize yourself with the
terms, provisions and conditions of coverage.
In the event you have any questions regarding this claim acknowledgment, please contact our
office at 800 - 225 -6561.
D [E "R � V E
AUG 29 2011 0
CITY CLERK'S OFFICE