HomeMy WebLinkAboutInsurance Corespondence - Correspondence - 27 ADAMS AVENUE 5/4/2020 GEICO Insurance Agency, Inc.
Underwritten By:
1 Homesite Insurance Company Of The Midwest-lornes Tel: 1-866-372-8903
11MAL INSURANCE' Fax: 1-866-694-8473
P.0, Box 5300
Binghamton, NY 13902-9953
66259002 NN RP 18 20201218 NNNNNNNN 0000005 0001 Claim Number: 01-002-943364
TOWN CLERK Date Of Loss: 05/04/2020
120 MAIN ST Policy Number: 32926082
NORTH ANDOVER, MA 01845-2420 Policyholder: KIM LE DUONG
December 17, 2020
ATTENTION: Buildin8 Commissioner or Inspector of Buildings Fire Department or Arson Squad, Board of Health or
Board of Selectmen /0 City of-Town Hall
NOTICE PURSUANT TO MASS. GEN. LAWS, CHAPTER 139, SECTION 313
Our Insured: KIM LE DUONG
Property Address: 27 Adams Ave North Andover, MA 01845-4302
Policy Number: 32926082
Claim Number: 01-002-943364
Date of Loss 05/04/2020
This correspondence shall serve as notice that, pursuant to Massachusetts General Laws Chapter 139, Section
3B, a claim has been made involving loss, damage or destruction to a building or other structure which may either
exceed$1,000 or cause Massachusetts General Laws, Chapter 143, Section 6 to be applicable.
If any notice pursuant to Massachusetts General Laws Chapter 139, Section 3B is appropriate, please direct such
notice to my attention and kindly, pursuant to the information provided above, include the insured's name, address,
policy number, claim number and date of loss. If you contact us via email, please use Claims@Homesite.com and be
sure to reference the claim number in the subject line of your email.
Please contact me with any questions.
Sincerely,
Claims Department
866-621-4823
Claims@ Homesite.com
Page 1 of 1
652W)V TN 11P W 21M)IM I M I It 9491 A7ed6,101,)92 f.51?,3AT1Af7Dh 1 N-,�I of 2
