HomeMy WebLinkAbout05. A) Claim-GonzalesStatewide Services, Inc.
Claim Division
July 11, 2016
City of Oshkosh
PO Box 1130
Oshkosh, WI 54902
Insured Name:
Claimant Name:
Claim Number:
Date of Loss:
City of Oshkosh
Angeline Gonzales
WM000702660835
June 24, 2016
416
1TY CL, � ISO
C--
1241 John Q. Hammon Dr.
P.O. Box 5555
Madison, W1 53705 -0555
877 -204 -9712
Statewide Services, Inc. is the third -party administrator for the League of Wisconsin
Municipalities Mutual Insurance liability and auto program. We received notice of the
above - referenced claim, and we want to assure you that we are in the process of reviewing it.
This claim has been assigned to:
Ginger Kimpton
Casualty Claims Adjuster
Statewide Services Inc.
PO Box 256
Mt Horeb, WI 53572
608.828.5515 direct
866.828.6613 fax
gkimpton@statewidesvc s. com
Feel free to call or email the claim handler above.
Sincerely,
Statewide Services Claim Department
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