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PLEASE. REPORT ANY INJURIES OR INCIDENTS WHICH <br />(OCCURRED DURING USE OF THE FACILITIES To <br />ALLIANT INSURANCE SERVICES, INC. <br />CLAIMS DEPT. <br />100 Pine Street 1T« Floor <br />San Francisco, CA 94111 <br />(877) 725-7695 Toll Free Phone <br />(415) 403-1466 Fax <br />The Claims Department will require all of the above information in order to <br />properly file and process the claim: <br />1) Naive of the Event Holder <br />2) Name of the Public Entity <br />3) Date of the occurrence <br />4) Copy of the certificate <br />