2021-12-15 - Wind Storm-Municipal AirportPlease forward ASAP to:
A D LARM Phone: (402) 742-2600
Property
League Association of Risk Management Fax: (402) 476-4089
Loss Notice
1335 L Street, Suite 200 customerservice@larmpool.org
Lincoln, NE 68508
MEMBER
MEMBER NAME: City of Blair
CONTACT NAME: Brenda Wheeler
PHONE: 402-426-6694
LOSS
DATE OF LOSS: TIME OF LOSS:
12/15/2021 4:00 pm
DEPARTMENT: Airport
DATE:
TO WHOM:
HAS LOSS BEEN PREVIOUSLY REPORTED? 9 YES ❑ NO
12/16/2021
Nate Fox
LOCATION OF LOSS:
POLICE OR FIRE DEPT. REPORTED TO:
2785 State Hwy 133
No
CAUSE OF LOSS (FIRE, WIND, EXPLOSION, THEFT, ETC.):
ESTIMATED AMOUNT OF LOSS: $ 50000.00
Wind
DESCRIPTION OF LOSS:
Wind storm with caused three (3) hangar doors to be removed from the hangar. We were able to
find parts of the doors but not all. One of the doors also hit the airport sign and knocked it over. We
are currently obtaining a cost for repairs to the granite stone.
MISCELLANEOUS INFORMATION
MORTGAGEE (IF NONE SO INDICATE):
OTHER INSURANCE (LIST COMPANIES, POLICY NUMBERS, COVERAGES, AND POLICY AMOUNTS):
MEMBER COMMENTS / CONCERNS / SPECIAL INSTRUCTIONS (ATTACH A SEPARATE SHEET IF NECESSARY):
REPORTED BY: Brenda Wheeler
DATE: 12/16/2021
THIS LOSS NOTICE WAS COMPLETED BY (PRINT NAME AND TITLE):
Brenda Wheeler, City Clerk
SIGNATURE: L't/ EMAIL ADDRESS: brwheeler@blairnebraska.org
DATE: 01/25/2022
REV. 2/6/15