2019-02-13_REVISION - M2000077 (5)

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Loss Run Page 4 of 8 f I i i STATUS: Policy Term Totals LOSS RESERVE PAID LOSS INCURRED LOSS ALAE RESERVE PAID ALAE INCURRED ALAE RECOVERY 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Policy Totals LOSS RESERVE PAID LOSS INCURRED LOSS ALAE RESERVE PAID ALAE INCURRED ALAE RECOVERY 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ( All claim data,including but not limited to notepad entries,displayed on the Western Heritage O=OPEN/E=OPEN FOR ALAE/C=CLOSED/I=NON- Insurance Company Portal are the sole property of Western Heritage Insurance Company.All data RESERVED INCIDENT Amounts shown do not contained herein must be treated as confidential.Access to claim data through the Western reflect deductibles or payments below SIRs.See Heritage Insurance Company Portal does not confer any rights in that data.Further,by accessing Total Recovery field for collected deds,salvage claim data in the Portal,the viewer expressly agrees to abide by and maintain the confidential and/or subro. and/or privileged status of data contained herein.Copying,printing,reproducing or otherwise communicating any claim data for any reason is strictly prohibited. All claim data, including but not limited to notepad entries, displayed on the Western Heritage Insurance Company Portal are the sole property of Western Heritage Insurance Company. All data contained herein must be treated as confidential. Access to claim data through the Western Heritage Insurance Company Portal does not confer any rights in that data. Further, by accessing claim data in the Portal, the viewer expressly agrees to abide by and maintain the confidential and/or privileged status of data contained herein. Agency Information REQUESTER:05049 REQUESTED DATE TIME: 08/04/2016 07:50:27 POLICY:SCP0728377 DEPT CODE: 00003 INSURED: P K ENTRPR INC PO BOX 729 DIVIDE,CO ( AGENT: HERITAGE GENERAL AGENCY,INC. 05040---ENGLEWOOD,CO POLICY PERIOD 01/25/2009 TO 01/25/2010 Claim Totals LOSS RESERVE PAID LOSS INCURRED LOSS ALAE RESERVE PAID ALAE INCURRED ALAE RECOVERY 0 0 0 0 0 0 0 STATUS: Policy Term Totals ,t LOSS RESERVE PAID LOSS INCURRED LOSS ALAE RESERVE PAID ALAE INCURRED ALAE RECOVERY 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Policy Totals LOSS RESERVE PAID LOSS INCURRED LOSS ALAE RESERVE PAID ALAE INCURRED ALAE RECOVERY 0.00 0.00 0.00 0.00 0.00 0.00 0.00 All claim data,including but not limited to notepad entries,displayed on the Western Heritage O=OPEN/E=OPEN FOR ALAE/C=CLOSED/I=NON- Insurance Company Portal are the sole property of Western Heritage Insurance Company.All data RESERVED INCIDENT Amounts shown do not contained herein must be treated as confidential.Access to claim data through the Western reflect deductibles or payments below SIRS.See Heritage Insurance Company Portal does not confer any rights in that data. Further,by accessing Total Recovery field for collected deds,salvage claim data in the Portal,the viewer expressly agrees to abide by and maintain the confidential and/or subro. and/or privileged status of data contained herein.Copying,printing,reproducing or otherwise communicating any claim data for any reason is strictly prohibited. . All claim data, including but not limited to notepad entries, displayed on the Western Heritage Insurance Company Portal are the sole property of Western Heritage Insurance Company. All data contained herein must be treated as confidential. Access to claim data through the Western Heritage Insurance Company Portal does not confer any rights in that data. Further, by accessing claim data in the Portal, the viewer expressly agrees to abide by and maintain the confidential and/or privileged status of data contained herein. Agency Information REQUESTOR: 05049 REQUESTED DATE TIME: 08/04/2016 07:50:27 POLICY:SCP0689103 DEPT CODE: 00003 INSURED: P K ENTERPRISES INC https://www.westemheritageins.com/whic/wps/WhicLossrunClient/jsp/LossrunResult.jsp 8/4/2016