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, ' • ` <br /> Superior Construction Services Inc. <br /> SIJ�RlOR <br /> C�c�scTior� 9702 85th Ave North �� �� ����J r`( �� <br /> „��:����„ Maple Grove,MN 55369 � <br /> Phone (763)424-9434 Fa�c (763)424-5428 <br /> Federal ID#41-1766131 MN ID#7231 <br /> Insured: Shirley Nagfack I a /' �r 0� Home: (612)819-9837 <br /> Property: 2795 Shadywood Rd C�i'� C <br /> Excelsior,MN 55331 <br /> Claim Rep.: Ron Traeger Business: (320)587-5762 <br /> Estimator: Brett Boese <br /> Claim Number: CITY OF ORONO- Policy Number: NA Type of Loss: Sewage <br /> SELF <br /> Date Contacted: 5/28/2012 <br /> Date of Loss: 5/28/2012 Date Received: 5/28/2012 <br /> Date Inspected: 5/28/2012 Date Entered: 6/1/2012 9:50 PM <br /> Price List: MNMN7X MAY12 <br /> Restoration/Service/Remodel <br /> Estimate: NAGFACK-SHIRLEY-SCS <br /> Date of Loss: 5-28-12 <br /> Date Received:5-28-12 <br /> Preliminary estimate based on a visual inspection of the property. <br /> This estimate must be approved by an Insurance adjuster prior to commencing work. <br /> All contents and storage to be handled by ServiceMaster Maple Grove. <br /> If your home is older than 1978 it may contain lead painted materials. T'he EPA may require contractors to follow special <br /> proce ures to contam and/or remediate lead from the amaged area. <br /> Brett Boese <br /> Superiar Construction Services <br /> 612-490-2600 <br /> Contractor Notes: <br /> BSC's are for multiple contractors performing work at different times. <br />