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Get Cause Of Loss And Subrogation Report

No. 1660-0005 Expires October 31, 2013 POLICY NO. NAME OF INSURED COMPLETE ADDRESS OF PROPERTY DAMAGED CAUSE OF LOSS (Check the box(es) that apply) 1. IMPROPER DIVERSION OF WATER 7. NEGLIGENT MAINTENANCE OF SEWER LINES 2. IMPROPER BUILDING 8. FAILURE TO USE PUMPS 3. IMPROPER GRADING 9. INADEQUATE PUMPS 4. DEBRIS ACCUMULATION 10. EXCESSIVE DAM WATER RELEASE 5. INADEQUATE SEWER LINES 11. EXCESSIVE WATER RELEASE (Mechanical) 6. IGNORING FLOODPLAIN MANAGEMENT (Regulations) 12.

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