HomeMy WebLinkAboutInsurance Notice of Claim - Correspondence - 5 WOODCHUCK LANE 8/19/2019 @)
The Com me rce Insurance Cow Pa y
MAPFRE Citation insurance onpysm
11 Gore Read,Webster,,Massachusetts 0150
INSURANCE" 508.949.1500 1 w ww.m a pfreiIdsuran ce.co m
August 21, 2019
BUILDING COMMISSIONER or Board of Health or
INSPECTOR OF BUILDINGS Board of Selectmen
TOWN/CITY A.1..., ow Cit Hall
N ANVR MA o 1845
k1 : Our Insure al: jOHN T O A L A MOBON
Property Address: 5 WOODCHUCK LN
olio : JY25
Date of Loss: 19 2019
Claim 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 anynotice 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.
MARINA JANCZYK Telephone: 5 949-15 xt: 15905
Claim Representative I, Property Toll Free: 1- 0-221-1 t. 1590
n tit-is date, 1 cause copies of this notice to-be 0ent to the persons indicated-above, at the..
address above, by first class mail.
August 21, 2019
CIC 4 (Rev.4/9 MAIL MJ2