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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 8 <br /> WESTERN HERITAGE INSURANCE COMPANY <br /> DETAIL LOSS INFORMATION FOR SELECTED POLICY <br /> Back <br /> Agency Information <br /> REQUESTER:05049 REQUESTED DATE TIME: 08/04/2016 07:50:27 POLICY:SCP1024406 DEPT CODE: 00003 <br /> INSURED: PK ENTERPRISES INC <br /> PO BOX 729 <br /> DIVIDE,CO O <br /> AGENT: HERITAGE GENERAL AGENCY,INC. <br /> 05040---ENGLEWOOD,CO <br /> POLICY PERIOD 01/25/2015 TO 01/25/2016 <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 /> All claim data,including but not limited to notepad entries,displayed on the Western Heritage D <br /> O=OPEN/E=OPEN FOR ALAE/C=CLOSED/I=NON- Insurance Company Portal are the sole property of Western Heritage Insurance Company.All data <br /> RESERVED INCIDENT Amounts shown do not contained herein must be treated as confidential.Access to claim data through the Western <br /> reflect deductibles or payments below SIRs.See Heritage Insurance Company Portal does not confer any rights in that data. Further,by accessing <br /> Total Recovery field for collected deds,salvage claim data in the Portal,the viewer expressly agrees to abide by and maintain the confidential <br /> and/or subro, and/or privileged status of data contained herein.Copying,printing,reproducing or otherwise <br /> communicating any claim data for any reason is strictly prohibited. <br /> All claim data, including but not limited to notepad entries, displayed on the Western <br /> Heritage Insurance Company Portal are the sole property of Western Heritage Insurance <br /> Company. All data contained herein must be treated as confidential. Access to claim <br /> data through the Western Heritage Insurance Company Portal does not confer any rights <br /> in that data. Further, by accessing claim data in the Portal, the viewer expressly agrees <br /> to abide by and maintain the confidential and/or privileged status of data contained <br /> herein. <br /> Agency Information <br /> REQUESTER:05049 REQUESTED DATE TIME: 08/04/2016 07:50:27 POLICY:SCP0971171 DEPT CODE: 00003 <br /> INSURED: PK ENTERPRISES INC <br /> PO BOX 729 a <br /> DIVIDE,CO <br /> AGENT: HERITAGE GENERAL AGENCY,INC. <br /> 05040---ENGLEWOOD,CO <br /> POLICY PERIOD 01/25/2014 TO 01/25/2015 <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: a <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 j <br /> 0.00 0.00 0.00 0.00 0.00 0.00 0.00 <br /> All claim data,including but not limited to notepad entries,displayed on the Western Heritage <br /> O=OPEN/E=OPEN FOR ALAE/C=CLOSED/I=NON- Insurance Company Portal are the sole property of Western Heritage Insurance Company.All data <br /> RESERVED INCIDENT Amounts shown do not contained herein must be treated as confidential.Access to claim data through the Western <br /> reflect deductibles or payments below SIRs.See Heritage Insurance Company Portal does not confer any rights in that data.Further,by accessing <br /> Total Recovery field for collected deds,salvage claim data in the Portal,the viewer expressly agrees to abide by and maintain the confidential <br /> and/or subro. and/or privileged status of data contained herein,Copying,printing,reproducing or otherwise <br /> communicating any claim data for any reason is strictly prohibited. <br /> httns://www.westemheritageins.com/whic/wps/WhicLossrunClient/isp/LossrunResult.isp 8/4/2016 <br />
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