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sedgwick®
<br />Insured: Indian River County
<br />Policy #: Per Schedule
<br />VCI File : TMP16028640
<br />Date of Loss: 09/10/17
<br />Hurricane Irma
<br />Scheduled Locations - See attached Summary .
<br />Sheet
<br />5% deductible applied per location - In no
<br />case does the loss exceed the limit of liability
<br />per location - see attached summary sheets
<br />STATEMENT OF LOSS
<br />LOSS
<br />$2,009,443.02
<br />CLAIM
<br />Scheduled Locations Claim $935,182.52
<br />Miscellaneous Unnamed Locations - Limit for
<br />this unit of Insurance - $2,500,000 See
<br />attached Summary Sheet (Beaches)
<br />Sector (3) - see attached report
<br />Sector (5) - see attached report
<br />Sector (7) - see attached report
<br />Loss total - Unnamed Misc. Locations
<br />Deductible 5% X $2,5000,000 = $125,000
<br />$3,761,160.00
<br />$628,560.00
<br />$1,518,120.00
<br />$5,907,840.00 $5,907,840.00
<br />($125,000.00)
<br />Net Loss Unnamed Locations $5,782,840.00
<br />The amount of the loss ($5,782,840.00) after
<br />application of the deductible exceeds the
<br />limit ($2,500,000). The Claim is the limit
<br />Property In the Open - Limit for this unit of
<br />Insurance - $2,000,000 See attached
<br />Summary Sheet for loss total:
<br />$2,500,000.00 $2,500,000.00
<br />$55,134.83 $55,134.83
<br />Deductible 5% X $2,000,000 = $100,000 ($100,000.00)
<br />Net Claim Property in the Open $0.00
<br />The amount of the loss ($71,534.83) does not
<br />exceed the deductible ($100,000) . There is no
<br />recovery on this portion of the claim.
<br />$0.00
<br />Loss and Claim Total $7,972,417.85 $3,435,182.52
<br />Additional Amounts Payable
<br />Total Net Claim
<br />Less Claim Already Paid (Misc. Unnamed
<br />Locations )
<br />$3,435,182.52
<br />($2,500,000.00)
<br />Additional Claim Payable =$935,182.52
<br />S.R. Jones R.G.A.
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