NYC 9/11 Public Portal Document
Hills Adjustment Bureau, Inc. TELEPHONE; (516) 785-9800
Ha 1400 Wantagh Ave., Suite 203 FAX: (516) 785-0800
Wantagh, N.Y. 11793 e-mail: hillsab(§>optonline.net
website: hillsadjusters.com
NEILS. LEVY, R.P.A. MARC G. ROSENTHAL
December 19, 2014
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
NY City Environmental Protection
59-17 Junction Blvd.
Flushing, NY 11373
Attn: Legal Dept.
RE: Insured: Vasliki Vasiladis
Policy#: 314PK-10816-04
Claim#: 11198
Location: 24-21 23rd St. Astoria'
Date of Loss: 12/13/14
Our file#: P412-167
To Whom It May Concern:
Please note the above captioned. We are the authorized claims representatives of the
Union Mutual Fire Insurance Co., building insurance carrier for the above captioned
insured/location.
We are assigned to investigate damage due to a water main break listed above causing
severe damage to our insured's premises. Investigation is being performed as to coverage,
liability and insurable damages under the terms of the policy.
This is a formal notice of subrogation claim on behalf of the Union Mutual Fire Insurance
Co. and its insured. Union Mutual Fire Insurance Co. will hold the City of NY Dept, of
Environmental Protection responsible for any insurable damages sustained under the
terms of the policy.
This letter is being forwarded to meet legal requirements as to notice of claim. We would
appreciate your acknowledgement of this matter.
Very ^l\yours,
( Marc G. RoAenthal
Hill^AdjustrngjirBureau, Inc.
MGR:pw (OVER)
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LICENSED ADJUSTERS
NYC-WTC_000159175
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