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.ccm:)), ----... <br /> r• , „ 7 1 Crawford &Company <br /> 2445 Oakmont Way <br /> Cimmicird 1V.,",-. - 1293 P.O. Box 70166 <br /> ` Eugene,OR 97401 <br /> CRAWFORD&WORMY (503) 484-1800 <br /> Appraisal Plus Report Fax(503)485-6512 <br /> v DATE: 3-27-93 <br /> ,. ' ' � ,.-an ...,ft' :, � _ 6 CLIENT 0005-16-81 <br /> „' � : .t.. .':;:',....44A':..,-.,:;1,....A.,.:;,.` FILE <br /> Er. Pat Nn11i gan .. 4 '� ; ' .F "y City of Eugene <br /> �'�' �� INSURED: <br /> Chubb Croup a ; ;f DATE Ol-Q2-93N/A <br /> 888 S.W. 5th Ave. f g ,' . °F WSS: DATCATI• <br /> suite:14� s : 4 ASSIGNED:144-93 CONTACTED: I-6-93 <br /> q ,. 230-816141—F <br /> r, Portia 421, OR . 9!2074 OUR FILE: <br /> EFFECTIVE <br /> W COVERAGE INFORMATION PROVIDED WITH ASSIGNMENT: POLICY# DATES <br /> O <br /> < FORMS&EDITION_ DEDUCTIBLE: $�5,x.00 <br /> Q <br /> d <br /> p LIMITS: BUILDING: CONTENTS: TIME ELEMENT: OTHER: <br /> U <br /> VALUE REQUIREMENTS:1. MORTGAGEES: <br /> AVALUE:$ 142, 019.00 LOSS LOCATION: South W111aireette Street, Eugene <br /> C <br /> CONSTRUCTION: wood frame <br /> MEETS POLICY REQUIREMENTS? <br /> f- ❑YES ❑NO(See worksheets) ❑N/A TYPE OF OCCUPANCY: restroom <br /> 0 <br /> a <br /> Q APPARENT CAUSE OF LOSS/SCOPE OF DAMAGE: combustibles placed too close to heat source <br /> a <br /> Q <br /> m None <br /> D ITEMS SUBJECT TO EXCLUSIONS OR LIMITATIONS: <br /> a <br /> SALVAGE OR SUBROGATION POTENTIAL: None <br /> REPLACEMENT BETTERMENT/ POTENTIAL <br /> ITEM COST LOSS DEPRECIATION ACV LOSS SUPPLEMENTAL CLAIM TOTAL <br /> t BUILDING/DWELLING $112,019.00 X1383.00 $111,636.00 $383.00 <br /> 2 <br /> 2 CONTENTS <br /> es <br /> co m • TIME ELEMENT <br /> 0 <br /> _) OTHER <br /> TOTALS V423019°00 3383.00 $413636.00 3383.00 V42,019.00 <br /> le <br /> cr W ❑ ADJUSTERS ❑ INVENTORY JI PHOTOS ❑ LOSS OF USE OTHER: <br /> ESTIMATE WORKSHEET <br /> cs <br /> U ❑ ADDNL ESTIMATES VALUATION ❑ PIER El DIAGRAM <br /> z OR REPAIR BILLS WORKSHEET <br /> z ❑ SERVICE INVOICE <br /> RECO? AENDEZR4DJUSTMENT CONSIDERING:$ 25,E DEDUCTIBLE AND THE INSURED'S PARTICIPATION: $172019.00 <br /> CLAM <br /> in <br /> $ 17)019 <br /> 019.00 PAYABLE TO: City of Eugene AND <br /> reNAMED. x+E° MC TO WEE(S) <br /> O closed is our evaluation of this park restroom in the replacement cost amount <br /> a of $112,019.00. This was completed, using the Boeckh system. Also enclosed <br /> flis a photo of the restroom. We also have a blueprint of the building. From <br /> asour photos, the building burned quite completely. Plase advise, if you would <br /> giii wish our office to settle with the insured, bsed on the above. <br /> n <br />