File # : EC20184108
File Status : Closed

Client Info
Client Name(s) :

Simisota for D and S laundry


Loss Address :

4700 N 15th st phila pa 19141


Home # :
832-878-4194

Work # :

Email :

Mailing Address :

Cell # :

Fax # :

Other Contact Info :

Carrier Info
Company :
Nationwide

Fax # :

Policy # :
ACP3008787202

Building Adjuster :

Coverage A Limits :
$0.00

Coverage C Limits :
$0.00

Deductible :
$0.00

Office # :

Email :

Claim # :

Contents Adjuster :

Fire Investigator :

Coverage B Limits :
$0.00

ALE :

Images :

Loss Info
Date of Loss :
10/15/2018

Peril :
Fire

Contract Date :

Details of Loss :

Percentage :
20%

Images :

Restoration Info
Company :

Billing :

Signing Rep. :

EMS Service :

Additional Services :

Office # :

Fax # :

Email :

Rep. Email :

Date of EMS :

Date of Add. Services :


Hotel Info
Name :

Status :

Phone 1 :

Phone 2 :

Fax :

Address :

Confirm# :

Stay Dates :

Notes :


Eastern Company Info
Created on October 18, 2018 by Steve Johnson
Solicitor 1 :
Steve Johnson

Solicitor 2 :

Adjuster :

Contents Adjuster :

Additional Adjuster :

Additional Claim Info:

Next Action Due Date:

Date Claim Reported :

Solicitor 1 Email:

Solicitor 2 Email:

Adjuster Email :

Contents Adjuster Email:

Additional Adjuster Email :

Next Action:

Images :
Misc. Other Files :

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