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2019-02-13_REVISION - M2000077 (5)
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2019-02-13_REVISION - M2000077 (5)
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Entry Properties
Last modified
1/5/2025 3:36:18 AM
Creation date
2/14/2019 2:04:08 PM
Metadata
Fields
Template:
DRMS Permit Index
Permit No
M2000077
IBM Index Class Name
REVISION
Doc Date
2/13/2019
Doc Name
Request For Succession Of Operator
From
PK Enterprises, Inc.
To
DRMS
Type & Sequence
SO1
Email Name
ERR
BJC
MAC
Media Type
D
Archive
No
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Loss Run Page 1 of 1 <br /> SCOTTSDALE INSURANCE COMPANY <br /> DETAIL LOSS INFORMATION FOR SELECTED POLICY <br /> Print this report <br /> Data as of 08/03/2016 17:30 MST <br /> Agency Information <br /> REQUESrOR:05009 REQUESTED DATE TIME:08/04/2016 07:43:40 POLICY:CPS2359394 DEPT CODE:00002 <br /> INSURED: P K ENTERPRISES INC <br /> PO BOX 729 <br /> (( DIVIDE,CO <br /> AGENT: HERITAGE GENERAL AGENCY,INC <br /> 05009---ENGLEWOOD,CO <br /> POLICY PERIOD 01/25/2016 TO 01/25/2017 ACTIVE POLICY PERIOD 01/25/2016 TO <br /> Claim Totals <br /> LOSS RESERVE PAID LOSS INCURRED LOSS ALAE RESERVE PAID ALAE INCURRED ALAE RECOVERY <br /> 0 0 0 0 0 0 0 <br /> STATUS: <br /> Policy Term Totals <br /> LOSS RESERVE PAID LOSS INCURRED LOSS ALAE RESERVE PAID ALAE INCURRED ALAE RECOVERY <br /> 0.00 0.00 0.00 0.00 0.00 0.00 0.00 <br /> Policy Totals <br /> LOSS RESERVE PAID LOSS INCURRED LOSS ALAE RESERVE PAID ALAE INCURRED ALAE RECOVERY <br /> 0.00 0.00 0.00 0.00 0.00 0.00 0.00 <br /> O=OPEN/E=OPEN FOR ALAE/C=CLOSED/I=NON-RESERVED INCIDENT/D=DORMANT;an incident/RO open more than 90 days.Amounts shown do not reflect deductibles <br /> or payments below SIRS.See Total Recovery field for collected deds,salvage and/or subro. <br /> All claim data, including but not limited to notepad entries, displayed on the Scottsdale <br /> Insurance Company Portal are the sole property of Scottsdale Insurance Company. All <br /> data contained herein must be treated as confidential. Access to claim data through the <br /> Scottsdale Insurance Company Portal does not confer any rights in that data. Further, <br /> by accessing claim data in the Portal, the viewer expressly agrees to abide by and <br /> maintain the confidential and/or privileged status of data contained herein. <br /> https://www.scottsdaleins.com/web/wps/SicLossrunClient/jsp/LossrunResult.jsp?Printable=N&Requestor... 8/4/2016 <br />
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