File # : EC20173000
File Status : Closed

Client Info
Client Name(s) :

Tara Periego
His and Hers Lounge
LaLe lounge


Loss Address :

216 South Street
Phila PA 19147


Home # :

Work # :

Email :

Mailing Address :

Cell # :
856-421-1523

Fax # :

Other Contact Info :

Carrier Info
Company :
Axis Capital

Fax # :

Policy # :
AXPK2017RBT00221

Building Adjuster :

Coverage A Limits :
$0.00

Coverage C Limits :
$0.00

Deductible :
$0.00

Office # :

Email :

Claim # :
PAAX17110001

Contents Adjuster :

Fire Investigator :

North American Risle Services
Joe Lucia
800 315 6090
X1217
jlucia@narisk.com

Michael.Collins@AxisCapital.com
678 746 0757

John Kennedy
856 769 1245


Coverage B Limits :
$0.00

ALE :

Images :

Loss Info
Date of Loss :
10/25/2017

Peril :
Smoke

Contract Date :
10/30/2017

Details of Loss :

Percentage :
20%

Images :

Restoration Info
Company :
CPRs

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 November 10, 2017 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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