Correspondence - 2413 Black Lake Road - 2/11/2025 *000082*
American Economy Insurance Company
P.O. Box 5014 MIco 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
February 11, 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: $11,145.00
Our Insured's Deductible: $1,000.00
Total Subrogation Amount Due: $12,145.00
To Whom It May Concern,
tv
N I'm writing with urgent information about claim number 058695820. We have not yet received a
o response to our letter of 01/28/2025 informing you of our claim to recover damages paid to our
g insured as a result of the loss referenced above.
0
o Reimbursement Expected
0
o As a result of this loss, Safeco and our insured have incurred the loss amounts shown above. Since
owe believe that your negligence contributed to this loss, we must insist on reimbursement.
0
0
o IMPORTANT! If you do not respond immediately to this notice, we have no choice but to take
appropriate action to ensure our reimbursement for this claim.
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.
SUB135 Subro Third Party Demand 058695820-01 Page 1 of 2
. -co Insurance,,,
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
SUB135 Subro Third Parry Demand 058695820-01 Page 2 of 2