HomeMy WebLinkAboutInsurance Notice of Claim - Correspondence - 46 WINTERGREEN DRIVE 6/6/2019 sm
i I Gore Road,Webster,Massachusetts 0 1570
INSURANCE" I r ww. a pf r i n s u ra nce-com
June 061 201
BUILDING COMMISSIONED. or Board of Health or
INSPECTOR P BUILDINGS Board of Selectmen
TOWN/CITY HALL Town/City Hall
WINTERGREEN MA 01845
Property Address: 46 WINTERGREEN DR
Policy#: BCHTYL
Date of Loss: 06 06 2019
Pile#: PPY o-PNCY
Clain has been made involving loss, damage, or destruction of the above captioned
property which may exceed $1,000, or cause Massachusetts General Laws, Chapter 143,
Section 6 to be applicable.
If any notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate,
please direct it to my attention. Please reference the above captioned Insured, location,
policy number, date of loss, and file number on any correspondence.
-I ARINA JANCZYK 'telephone: 50 9 9-1500 t: 15905
Claim Representative 1, Property Toll Free: 1-800-221-1605, ExC 15905
n this date, I cause copies of this notice to be seat to the persons indicated above, at the
address above, by first class mail.
.Rune 06, 201
CIC 254 (Rev. / MAIL MJ