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Y/✓ <br /> � <br /> C C M S I' <br /> JUL 2 7 2021 <br /> DIVISION <br /> July 23, 2021 MINING ANL, A "t <br /> Mr. Peter Hays <br /> Colorado Division of Reclamation, Mining&Safety <br /> 1313 Sherman Street, Room 215 <br /> Denver, CO 80203 <br /> RE: Our Insured: City of Greeley <br /> Claimant: Jay Froshaug <br /> Date of Loss: 1/14/21 <br /> Claim No.: 21G33J581493 <br /> Dear Mr. Hays: <br /> CCMSI is the claims administrator for the City of Greeley. We understand your department investigated <br /> the loss resulting in the death of Jay Froshaug at the Poudre Ponds Improvement and Restoration <br /> project. We are submitting a CORA request for any and all records concerning your investigation into <br /> this matter. Thank you in advance for your anticipated cooperation. <br /> Very truly yours, <br /> Brian L. Poust, Esq. <br /> Assistant Vice President <br /> CCMSI <br /> 303-804-2045 <br /> bpoust@ccrosi.com <br /> Cannon Cochran Management Services,Inc. <br /> 7600 East Orchard Road • Suite 330N • Greenwood Village,CO 80155 <br /> 888-428-4671 • 303-804-2000• Fax:303-804-2005 • www.ccrosi.com <br /> FRAUD WARNING.Any person who,knowingly and with intent to injure,defraud,or deceive any employer,insurance company,third party <br /> administrator,self-insured program,or any other third party,files an insurance claim containing any false or misleading information,which <br /> violates an applicable state statute,is guilty of a crime and subject to prosecution. <br />