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Qwest-1203 Victoria Curve 615 N Classen Blvd. Oklahoma City OK 73106 (800)421-2153(405)606-8200 fax(405�290-2015 www cmrclaims com C I��=�,_ R :�"�:x:<�.��'�'fCE �F �'I�AIM R�C�li�EC� MFIJfiGEMENT �����'� RESOUFCES � Date:o�-26-zo:2 JA N 3 1 2 012 CEFtTIFIE�U MAiL, RC'�,_�;��� REC�IPT REQL'E�'TED ���.,� �,��;�� To: CtTY Or S�'PAUL CITY CLF.'RI< 3l0 CITY HALL ]5 W.KELLOGG BLV� ST PAUL,MN 55102 �'ERTIF'iF.D l0!�IT� 9171 9690 0935 00?2 6747 60 RE: llamage tfl Q�v��est Propert,y Q�vest Ciaim Num: 52U3i�d Dama�e/Discovery Date: 01��'14-2012 Bamage Location: 1203 VICTQRIA CURVE,ST.PAUL,MN Damage County: RAMSF.Y Damage Amount: �.i?�DE'I'ERMINED Dear Sir/Madam: P,zase be advised that Qwest Faciliti?s sust�±ined damage as a result of the negligent acts or c�missions by employees or a;ents af CITY OF 5T P.SUL. lnvesti�;�ti.�n has revenl.°d tnat o�i or abouc�1-24-2�1� employees or agents of CITY OF ST PAUL, CITY OF ST. PAUL �AI�1AGEfl A 40� PAIR BL'RIED QWEST CABLI: DURING �VATER EXCAVA'TION in the area of:2U3 VICTOR[?�CURVE, S7'. PALTI,,MN. This letter is the writteo presentment of Qwest's claim pursuant to Minnesota Statute 466.05 . I2EQUEST FOR GOVERi`IME�T�'AL NUTICE FORM If your Governmental Entity requires the compietion of its o�vn form to complete proner notice, please forwaru a copy to the ad;�ress ?istsd zbove. Every go�d iaitn effort has heen made to identify the proper ofiice and ad�ress to perfec# our notice. Please �orwa:d te your attorn�y, if misdirected, to contact us. :3u1. .:� :;;:�i:� ;tat�� are w��egcu �ri :�jfa-r.atio.r, ��;� ��;ief;hi: �ica{zr �ji�i:es tU �8 iru�, if t},�ie ;s insurancz to cover this matter,kindly advise as to the name of the insurance company, its address and the claim number�:ssigned. If�ou have any questions, ar need additional informatifln, please contact me at 1-800-321-�1 S� ext 82_32. �������������=�r�t,,,�%�i �� ��,`_ �;� •� `����`-''.�j�,iTq�y,F�j.�'�' Sincerely, = ' Holly�'inle5� _ _ C ��3011463 ` _ _ =X�'. 1 ii2R/14 ; _ — tn , ; ,a :� _ t � ' �:� '� AVBI_1L.•�����: � .. � . � ��� °� � / ,,��� Cy.�.P'`��`� ti.l' . ��ii�;;�i�1������� � `�` I�lOTARY CMR CLaipns DEI'T Commissioa�Expires _ i �U�S-� �20�(� :�(�.}rl,Ri„T�: +C3�` �Lr�[:�f� �'Cl�tl� #�� �he �:"it�� ,nf�aint �'xu�, �inne�t�ta i.' 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