2005-03-15 LMC Claim AcknowledgmentM
league of Minnesota Cities
Cities promoting exce~~ence
League of Minnesota Cities
Claims Department
145 University Avenue West, St. Paul, MN 55103-2044
(651) 281-1200 • (800) 925-1122
Fax: (651) 281-1297 • TDD: (651) 281-1290
www.l m n c.org
ACKNOWLEDGMENT OF CLAIM
ALBERTVILLE, CITY OF
P.0. BOX 9
ALBERTVILLE
Date: 3/15/05
RE: Our File No.:
LMCIT Member:
Claimant Name:
Occurrence/Loss Date:
Claim Description:
Supervisor:
Phone No.:
Fax No.:
Adjuster:
Phone No.:
Fax No.:
MN 55301
11051632
ALBERTVILLE, CITY OF
KERRY & JAN EVERMANN
3/08/05
SEWER BACKUP
CURTIS HEITSCHMIDT
(651)281-1284
(651)281-1297
JEFF HILL
(320)259-9766
(320)253-0725
We have received this claim at the LMCIT claims office. The assigned claims supervisor
and adjuster are listed above. The adjuster is your key contact on this claim. If you
have not already been contacted by an adjuster, please call the listed phone number aid
ask for the specific adjuster assigned to this claim. The claims supervisor is also
available to you at any time.
LMCIT
Claims Department
C.C.
MIDDLETON & ASSOCIATES INC
DBA MIDDLETON INSURANCE AGENCY
106 CENTRAL AVE E
ST MICHAEL MN 55376
AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER