Czlapinski RE�E{�'EC�
FEB 1 � 2012
C1T� CLEF�{� THE
HARTFORD
February 02, 2012
City Of Saintpaul Minnesota Claims
310 City Hall, 15 Kellogg Blvd.,West
Saint Paul, MN 55102
Re: Insured: Rick A Czlapinski
Claimant: City Of Saintpaul Minnesota Claims
- �ate ot t�s�: — Q3/03/269�t - -- _----.
Claim Number: HL0010486737
CCPS Number: YXY KL 97589
Dear City Of Saintpaul Minnesota Claims:
Please accept this letter as formal notice of a claim against the City of Saint Paul with regard to the above referenced
incident. Our investigation to date reveals that the claimant slipped and fell on the sidewalk in front of our insured's
residence due to an un-natural accumulation of ice, due to a depression or low spot in the sidewalk. Our investigation
reveals that The City of Saint Paul owns and maintains the sidewalk in question. Please forward this matter to your risk
management department for further handling and investigation. Call if you have questions or additional information.
Sincerely,
Kurt Miracle
Sr. Claims Representative
(877)625-2652 x2307449
Writing Company Name: Property&Casualty Insurance Company of Hartford
Susan Cotter
N 4709 Tall Timber Circle
Montello, WI 53949
Phone: 608-297-7037
Handling ID:
LTR6116427
KM1 The Hartford
P.O.Box 14265
Lexin9ton,KY 40512-4265