HomeMy WebLinkAboutInsurance Letter - Correspondence - 129 BAY STATE ROAD 6/26/2022 GEICO Insurance Agency, LLC
U nde r w r itt,e
Horriesite 11nSLJ1ran�,",:e Cornplany Of'The Midwest
'1- Ili 0-566-1518
1111"Holirn,es,ite Fax� 1-866-694-84,73
)HOME INSURANCE
P,0, Box 5300
Binghicourvtorii, NY 13,9102--99,53
(56125,9002 P`411 FIP,01 2022,0701 10,00,2`642 OCII Claim Number: 0j 1-10,04-923963,
C11"Y OFNOFITH ANDOVER - BUILDING DEPAfflil-MEN r Date Of L.oss. 06/2,6/2022
120 MAIN S"T" Policy N1(,,wnb(,,,,,i!r, 331800,22
NORTF1 ANDOVER, MA 01845-2420 Policybolder" R a l�p h S Lif 11 Ss'
Jurie 29, 2022
ATTENTION,: 1301diri r missione I[rispector,of Bu ail dinigs Fire DepartrT'ierit or Arson Squad, Board of Health or"
Board of Selectmen C/O City,or Town Hall
NOTICE PURSUANT TO MASS. GEN. LAWS, CHAPTER139, SECTION 3B
Our Iiisured', RALPH SULIS
Proplerty Address:' 129 Bay Stiate Rd Noilh Andover, MA, 01845- II,
30,
Policy Number: 331180022
Clairn Nun i b1(-.1,,r: 01-004-923963,
Date of Loss 06/26/2022
This corr(-,,�.spondence shall serve as rwfic ialt,, pUrst.jan't, W I I e I s e l erieral Uaws Chapter-1 319, Section
381,, a clairn has beer") rnade involvirig loss, darnage oil',de,struction to a buildirlig or ottier structure which rlrliay either
exceed $1000 or caUSP, Massachusetts General Laws,, (.';,hapter ,143, Section 6 to be applicable.
I
If any noticle ptiasuaritto Massachusetts Glemera] Laws "hapter, 139,,, Section 3B is approphal p1lease direct SLACh
noficeto mY attention and kindly,, pUrst.liant to the, inforl'Tiiafion provided above,,, include the irisured's name, address,
policy, nUmbet-, dairrli� nurnbier, and date of loss. If you coritact us via erniai[, please use c,Ia,irT)do,c�ut�lillen,ts@af°�c�s.coirn
an d be su re to � µ e re n ce fllWi,P, c,ai it n u nm bI in t e S U b UPIn e of you r e m la,
Please leon'tiact 11"Tie with any questions..
Sincerely,
1"fliomals,Wuelpler
Clairri Adjuster 11
AFICS on, behaff of Homesitle Insurance. Conipany of fl,-iie Midwest
Th ornas.'ft e I pe ir @ af i cs.com
1-857-248.8,047
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