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'= <br /> COMPONENT CONCEPTS INC. <br /> October 24,2013 <br /> Office of the City Clerk <br /> City of Everett <br /> 2930 Wetmore Avenue <br /> Suite 1-A <br /> Everett,WA 98201 <br /> Subject City of Everett Tort Claim Form.Component Concepts,Inc.(CCI)August 29,2013 Flood <br /> Damage Claim <br /> City of Everett, <br /> After several weeks of delays, I finally found the time in my busy schedule to complete the <br /> following claim(Ref.attached Completed City of Everett Tort Claim Form)due to the Everett,WA <br /> flood of Thursday August 29, 2013 @ 6:00pm. <br /> Please find attached a complete scan report broken down into several criteria to better provide you <br /> a complete picture of the damages caused by the flood of August 29, 2013 and to justify the work <br /> loss, equipment loss,cleanup costs, etc. <br /> 1. Schedule of Property Form 3 Pages Total dated 10/22/13 Net Total =$39,145 <br /> 2. Flood Articles:Attachment"A.I.-A.3" <br /> 3. Flood Photos at CCI on August 29, 2013:Attachment"B.1 B.4" <br /> 4. Aftermath of Flood at CCI on August 30,2013:Attachment"C.1- C.12 <br /> 5. Claim Items#1-#4 Loss of Work:Attachment"D.1- D.3" $3,535 <br /> 6. Claims Items#5 Cleanup Costs: Payroll Available upon request $ 863 <br /> 7. Claims Item#6 CCI Pumphouse Replacement Attachment"E.3.- E.2" $3,500 <br /> 8. Claims Items#6&#7 Compressor Replacement&Repair:Attachment"F.1- F.1.3"$5,900 <br /> 9. Claims Items#8-#21 Misc. Equip Replacement& Repair:Attachment"G.1- G.22"$2,597 <br /> 10.Claims Items#22-#27 Misc.Burn-in Boards&Equip:Attachment"Hi- H.6" $22.750 <br /> Total Claims: $39,145 <br /> CCI has filed a similar claim with our insurance company but expect that there will be deductibles, <br /> limited coverage, etc.that will may or may not cover approximately 25%of the damages.We look <br /> to the City of Everett for assistance on absorbing some of the remaining balance. Please feel free <br /> to contact me with any questions or further request. <br /> Sincer <br /> Y, <br /> REOC,TEIVEI <br /> 2013 <br /> Mark P tensky <br /> Preside t CITY OF EVERETT <br /> City Cie* <br /> Component Concepts, Inc. 3229 Pine Street Everett,WA 98201 T:(425)258-4548 <br /> www.componen# once ts.net <br />