Attachment_B_-_Loss_Run.pdf
PDF 37 KB Posted
- Attached to
- Insurance, Property
- Solicitation number
- EVT0009965
- Issued by
- Sedgwick County, Wathena City, Kansas
About this file
This document is a Loss Run Report for a Commercial Property Insurance Policy held by the State of Kansas Department of Labor and Commerce. The policy number is 75-347927, with an original effective date of 12/01/2012 and a current policy term from 12/01/2024 to 12/01/2025. The policy has no claims found for the policy terms from 12/01/2019 to 12/01/2024, with the exception of two claims during the 12/01/2021 to 12/01/2022 policy term. These claims were for building damage due to water losses, with a total paid amount of $21,904.97, and a building damage claim of $6,470.23 during the 12/01/2020 to 12/01/2021 policy term.
The Loss Run Report provides details on the claims, including the claim number, close date, coverage, reserve amount, paid amount, allocated expense, and pending amount. The policy is underwritten by Auto-Owners Insurance Company, with no information provided on any renewal options or the overall contract term.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| EVT0009965_-_Insurance,_Property.pdf | ||
| Attachment_A_-_Property_Data.xls | XLS spreadsheet | |
| Insurance,_Property.pdf | ||
| Attachment_C_-_Current_Policy.pdf |
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Text version
Date: Policy Loss History Report October 15, 2024
Policy Number:
Policy Branch: Named Insured:
Agency:
Mailing Address:
Original Effective Date:
Policy Prefix:
Policy Type:
Policy Cancellation Date:
MISSOURI - 075
125013
12/01/2012
COMMERCIAL PROPERTY
STATE OF KANSAS
DEPARTMENT OF LABOR AND COMMER
800 SW JACKSON ST STE 600
TOPEKA, KS 66612-1216
A G INSURANCE
13006500
75-347927
Term 12/01/2024 to 12/01/2025
No Claims Found for this Policy Term.
Term 12/01/2023 to 12/01/2024
No Claims Found for this Policy Term.
Term 12/01/2022 to 12/01/2023
No Claims Found for this Policy Term.
Term 12/01/2021 to 12/01/2022
Loss Date
Claim Number: Policy Term:
Close Date Coverage Reserve Amount Paid Amount
Allocated Expense Pending
Amount Recovery
12/01/2021 to 12/01/2022300-0019349-2022
01/03/2022 2/22/2022 Building Damage $0.00 $0.00 $21,904.97
Description: The insured had a water loss on 1-3-2022 and 1-4-2022. There were multiple pipes that ruptured but it was not freezing of plumbing. The claim will be in excess of $10,000. Most of the water clean up is done but they still have significant amount of sheet rock that needs to be replaced. The contact person is Julie Sailors cell # 785-393-1045. Please have an adjuster contact her as soon as possible. Auto-Owners Insurance Company Policy # 7534727-21 Policy Period 12-1-2021 to 12-1-2022. Thanks for your assistance.
Total: $21,904.97$0.00$0.00 $0.00
Term 12/01/2020 to 12/01/2021
Loss Date
Claim Number: Policy Term:
Close Date Coverage Reserve Amount Paid Amount
Allocated Expense Pending
Amount Recovery
12/01/2020 to 12/01/2021300-0073936-2021
02/16/2021 7/19/2021 Building Damage $0.00 $0.00 $6,470.23
Description: frozen water pipes from power outage rolling black outs
Total: $6,470.23$0.00$0.00 $0.00
Term 12/01/2019 to 12/01/2020
No Claims Found for this Policy Term.
Term 12/01/2018 to 12/01/2019
No Claims Found for this Policy Term.
Totals for Policy 75-347927 from 10/15/2019 to 10/15/2024
$28,375.20$0.00$0.00 $0.00
Page of98098 (6-18) 1 2
Total number of claims for this requested report period: 2
Page of98098 (6-18) 2 2 *Paid Amount does not include Recoveries
File details come from the government source that posted it. Updated .