HomeMy WebLinkAbout04. A) Claim-VangStatewide Services, Inc.
Claim Uivision �zai �� p. nam��,: u.
o,a. m. ssss
Sanuary 13,2016
City of Oshkosh
PO Box 1130
Oshkosh W154902
RE: Insured: City of Oshkosh
Claimant Name: Kong Peng Vang
Claim Numbec W M000702660811
Date o£ Loss: Ol/06/2016
__..__.-_....
� : �,_,.... ,�,. ,� ,, _.
JAN 1 3 2016 I
i —�
— .__ `:-1�9ce
/7 / �' y/�
ICi� l ���.7�.5 p,)I
�;���i�iJJ7 Sy 7��
Sta[ewide Services, Inc. is the third-party administra[or for Ihe League of Wisconsin
Municipali[ies Mutual Insurance liability and au[o pmgram. We received notice of the
above-refecenced claim and want to assu�e you that we aze iu [he process of ceviewing it.
This claim has been assigned [o:
Ginger Kimpton
Casualty Claims Specialist
Phone:855-828-5515
Fax:866-828-6613
Email Address: gkimp[on@statewidesvcs.com
Feel free [o call or email [he claim handler above.
Sincerely,
S[atewide Services Claim Department
Cc: Tim Nickels