Laserfiche WebLink
<br /> <br />Farmers Insurance Exchange <br /> <br />F <br /> <br />National Document Center <br />PO Box 268994 <br />Oklahoma City, OK 73126-8994 <br />Fax- 877-217-1389 <br />claimsdocuments@farmersinsurance.com <br /> <br />Insured: Shirley Pelzer <br /> <br />Home: (651) 633-1788 <br /> <br />Property: 2650 PASCAL ST <br />Roseville, MN 55113 <br /> <br />Claim Rep.: Benjamin Henry <br /> <br />Cellular: (952) 239-6231 <br /> <br />Business: PO Box 268994 <br />Oklahoma City, OK 73126-8994 <br /> <br />Estimator: Benjamin Henry <br /> <br />Cellular: (952) 239-6231 <br /> <br />Business: PO Box 268994 <br />Oklahoma City, OK 73126-8994 <br /> <br />Claim Number <br />1010003492 <br /> <br />Policy Number <br />916940225 <br /> <br />Type of Loss <br />Backup of Sewer or Drain <br /> <br />Deductible <br />$500.00 <br /> <br />Dates: <br />Date of Loss: <br />Date Inspected: <br /> <br />04/15/2007 <br />04/16/2007 <br /> <br />Date Received: 04/16/2007 <br />Date Entered: 04/16/2007 <br /> <br />Price List: MNMN4B7 ARO <br />Restoration/Service/Remodel <br />Estimate: 2007-04-16-2036 <br /> <br />Thank you for choosing Farmers Insurance Exchange. <br /> <br />Please note this estimate of repairs reflects the extent of known covered damages to the property located at the above <br />address. No supplemental or additional payments will be issued for any repairs not listed in our scope, without prior <br />approval. This approval must be obtained prior to replacement or repair, and we must have the opportunity to view the <br />proposed changes or additional work to determine if any supplemental payment is warranted. <br /> <br />When repairs are completed within the prescribed time, submit your documentation to NATIONAL DOCUMENT <br />CENTER P.O. BOX 268994 OKLAHOMA CITY, OK 73126-8994. Please write your claim number on each piece of <br />documentation. We will arrange for an inspection of the repairs. At such time, you must be able to document that the <br />actual cost of the completed repairs incurred by you has exceeded the actual cash value (ACV) payment made by <br />Farmers Insurance Exchange. Documentation of actual incurred cost may include: a signed contract, photographs, <br />canceled checks, credit card statements, paid invoices or other verifiable information. Cash payments should be recorded <br />with dates, amounts, names, addresses and telephone numbers. <br /> <br />We do not guarantee the work of any contractor. Contractors or repairman are selected and hired by you, not Farmers <br />Insurance Exchange. It is up to you to make sure the work is completed. <br /> <br />All estimates subject to management approval. <br /> <br />Benjamin Henry <br />(952) 239-6231 <br />