Correspondence - 2413 Black Lake Road - 2/6/2025 *000097*
American Economy Insurance Company
P.O. Box 5014 co Insurance,,,,
Scranton PA 18505-5014
A Liberty Mutual Company
CONTACT US
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The City of Spring Park Rob.Howard@LibertyMutual.com
4349 Warren Ave Fax: (888) 268-8840
Spring Park, MN, 55384-9711
American Economy Insurance
Company
P.O. Box 5014
Scranton PA 18505-5014
United States
(800) 332-3226
Safeco.com
January 28, 2025
Date of Incident: 01/27/2025
Claim Number: 058695820-01
Insured: Maxyril Avalos
Loss Location: 2413 BLACK LAKE RD, SPRING
PARK, MN 553849736
Amount We Paid: $14,282.00
Our Insured's Deductible: $1,000.00
Total Subrogation Amount Due: $15,282.00
To Whom It May Concern,
a)
o I'm writing with important information about claim number 058695820. Please be advised that as a
o result of this loss, Safeco has paid damages to our insured under their homeowner's coverage.
0
Right of Recovery
0
a
S Subrogation involves our right to recover from a negligent party the money we paid on our insured's
o behalf for property damage and related expenses. Our customer may also have incurred additional
CD expenses that weren't covered by their policy and may pursue you directly for that amount.
CD
CD
Notice of Liability
x Our initial review shows that you may have contributed to this loss. As a result, we are placing you on
notice for reimbursement of damages paid under our insured's policy.
This letter is official notice of our claim against you for these expenses.
Please Note: Any payments you may have made to our Insured will not relieve your responsibility to
reimburse us.
sit
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SUB135 Subro Third Party Demand 058695820-01 Page 1 of 2
�coInsurance,.
A Liberty Mutual Company
If You Were Insured
If you had insurance at the time of this loss, we ask that you take these steps:
• Promptly inform your insurance carrier of this notification.
• Please let us know once you contact your carrier. We will then communicate directly with
them.
If You Were Not Insured
We would be happy to work with you in establishing a convenient payment plan with one of our
subrogation partners.
Please include our claim number on your check for the total amount of damages shown above.
Please forward payment to:
Safeco
Attn: Claims Financial Operations
PO Box 2825
New York, NY 10116-2825
We're Here to Help
If you have any questions, please contact me directly and I'll be happy to help. I can assist you more
quickly if you reference the claim number 058695820 in all communications.
Sincerely,
ROBERT HOWARD
Safeco Claims
PS: Loss amount is not final and may change. This is in reference to a
property damage claim as a result of a back-up.
SUB135 Subro Third Party Demand 058695820-01 Page 2 of 2