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DOCUMENTATION OF THE ~~CE RECOVERY BEING PROVIDED TO FEMA ITEMIZING THE AMOUNT OF INSURANCE :EDS RECEIVED FOR DAMAGES LISTED IN THIS DSR ACCORDING TO ALL INSURANCE POL .S IN PLACE AT THE TIME OF LOSS. THE APPLICANT MUST REPORT THE ENTIRE INSURANCE SETTLEMENT TO THE GOVERNOR'S AUTHORIZED REPRESENTATIVE WITH DOCUMENTATION INDICATING THE AMOtmT OF THE INSURANCE SETTLEMENT AND FOR WHAT SPECIFIC DAMAGES THE PROCEEDS WERE PROVIDED. ANY REQUEST TO RECONSIDER THE REDUCTION IN THIS DSR WILL NOT BE CONSIDERED AN APPEAL, PROVIDING ALL INSURANCE DOCUMENTATION IS INCLUDED WITH THE REQUEST. PAGE: 26 FEDERAL EMERGENCY MANAGEMENT AGENCY PAAS REPORT D.1: DAMAGE SURVEY REPORT SUMMARY DISASTER #: 1186 P.A. ID: 000-91141 APPLICANT: CONTACT: NOI DATE: POUDRE SCHOOL JOA..'\f MILLER 08/12/97 DISTRICT R-1 WORK CJI.TEGORIES: AGENCY REQUIREMENTS (1): ===A==== ==B== OFA OFA --,..,-- --\....-- COL~~Y: STAT~1IDE PHONE: 970-490-3501 ==D== ==E== ==F== ====G==== OFA OFA OFA OFA G V PROJ DSR PCT REVIEW REVIEW PROJECT APPROVAL ACTUAL SPECIAL FLOODPLAIN F A DSR # SUPP AGCY FIN ELIG CAT NO $AMOUNT COMPL DT INSP DATE I DATE II COMPL DT DATE COMPL DT CONSIDER MANAGEl1ENT 0 L -~--- ---- -------------- -----~-- -------- ----~--- -------- -------- -------- -------- ---------- -~-------~---- -------- ~------- -----~-- -------- -------- -------- ------~- ---------- 03583 1 OFA y E 599 $0 PROJECT TITLE: DAMAGE FACILITY: DAMAGE LOCATION: DAMAGE DESC: o 08/22/97 10/15/97 10/16/97 01/30/99 10/30/97 MIS1F1 V BUILDING REPAIRS COMMENTS: FACILITY SERVICES T7N, R69w - SEe 9, SE 1/4 - SUPPORT SERVICES CENTER - 2407 LAPORTE AVE - FORT COLLINS FLOODWATERS INUNDATED BUILDING UP TO RAISED FLOOR LEVEL. BUILDING SKIRT AND INSULATION ATTACHED TO FRAMING WERE DA..~GED OR WASHED AWAY. REPLACE SIDING, INSULATION AND TRIM. PAINT SKIRT AND TRIM TO MATCH EXISTING PAINT. THIS DSR HAS BEEN REDUCED FOR ANTICIPATED INSURANCE PROCEEDS THAT MAY BE RECOVERED BY THE APPLICANT. THIS REDUCTION WILL BE REVISED BASED ON DOCUMENTATION OF THE INSURANCE RECOVERY BEING PROVIDED TO FEMA IT~1IZING THE AMOUNT OF INSURANCE PROCEEDS RECEIVED FOR DAMAGES LISTED IN THIS DSR ACCORDING TO ALL INSURANCE POLICIES IN PLACE AT THE TIME OF LOSS. THE APPLICANT MUST REPORT THE E~~IRE INSURANCE SE1~LEMENT TO THE GOVERNOR'S AUTHORIZED REPRESENTATIVE WITH DOCUMENTATION INDICATING THE AMOUNT OF THE INSURANCE SETTLEMENT AND FOR WHAT SPECIFIC DAK~GES THE PROCEEDS WERE PROVIDED. ANt" REQUEST TO RECONSIDER THE REDUCTION IN THIS DSR WILL NOT BE CONSIDERED AN APPEAL, PROVIDING ALL INSURANCE DOCUMENTATION IS INCLUDED WITH THE REQUEST.