HomeMy WebLinkAbout02. A) Claim- Branden CortezStatewide Services, Inc.
Claim Division 1241 John Q. Hammons Dr.
P.O. Box 5555
Madison, W1 53705-0555
877-2D4-9712
August 29, 2017
City of Oshkosh
PO Box 1130
Oshkosh, WI 54902
RE: Insured: City of Oshkosh
Claimant Name: Brandon Cortez
1530 S Oakwood Rd
Oshkosh, WI 54902
Claim Number: WM000702660894
Date of Loss: 7/25/2017
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 want to assure you that we are in the process of reviewing it.
This claim has been assigned to:
Ginger Kimpton
Senior Casualty Claims Adjuster
Phone: 855-828-5515
Fax: 866-828-6613
Email Address: gkimpton@statewidesvcs.com
Feel free to call or email the claim handler above.
Sincerely,
Statewide Services Claim Department
Cc: Phil Burkart
RECEIVED
-_7
AUG 292017
CITY CLERX'S OFFICE