Wiener & Wiener

Public Insurance Adjusters

365B Bluefish Drive Fort Walton Beach, FL 32548-3100
Office# (321) 325-5653 Cell# (850) 725-0495
sam@WienerAdjusters.com howard@WienerAdjusters.com

Date: 10/10/22

T o : Universal From: Howard Wiener

Fax:

Letter of Representation

Insured: Adam Pereira

Loss Location: 557 Sibert Ave Destin FL 32541
Claim Number: FL22-0119627
Date of Loss: 6/21/22

To Whom It May Concern,

Please find attached our contract of representation for this policyholder.

Please forward promptly a true copy of the insurance policy, including declarations page, as well as any estimates, reports
(engineer, contractor, adjuster, etc.), and a copy of any correspondence provided to the policyholder, or received from the
policyholder.
If a check is issued as a result of this claim, please include Wiener & Wiener as a payee, and send any checks to:

365B Bluefish Drive

Fort Walton Beach, FL 32548-3100

As indicated by the policyholder in the attached agreement in order to avoid additional delays.

Please also provide the name and contact information for a claim representative or have a representative contact me to
discuss and/or inspect damages.

Thank you for your assistance.

Sincerely,

Howard Wiener
DFS# W131949
540-246-3884
Wiener & Wiener

cc: