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Municipal Entity Underwriting Application - page 25 / 34

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Municipal Entity Underwriting Application

Third Party Administrator  Claims Handling Information

n/a

Name of Third Party Administrator

Phone

Address (Street, City, State, Zip Code)

Website

E-mail Address

Principal Contact Name

Phone

A.General

1.

What is the average caseload of adjusters?

2.

Litigated claims are handled by

Inside Counsel

 Outside Counsel

25 of 3410/23/2007

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