HomeMy WebLinkAboutInsurance Letter - Correspondence - 105 AMBERVILLE ROAD 2/7/2023 GEICO Insurance Agency, LLC
Underwritten By:
Homesite Insurance Company
HomesiteTel; 1-800-566-1518
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Fax; 1-866-935-2658
6000 American Parkway
Madison,W 153783-0001
66259002 NN RPOR 20280208 NNNNNNNN 00011950008 Claim Number: 01-005-745425
PAUL HUTCHINS Date Of Loss: 02/04/2023
120 MAIN ST Policy Number; 39502436
NORTH ANDOVER, MA 01846-2420 Policyholder: Jagdish Tewari
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February 7, 2023
ATTENTION: Building Commissioner or Inspector of Buildings Fire Department or Arson Squad, Board of Health or
Board of Selectmen CIO City or Town Hall
NOTICE PURSUANT TO MASS. GEN. LAWS, CHAPTER 139, SECTION 3113
Our Insured: JAGDISH TEWARI
Property Address: 105 Amberviile Rd North Andover, MA, 01845-3378
Policy Number: 39502436
Claim Number: 01-005-745425
Date of Lass 02/04/2023
This correspondence shall serve as notice that, pursuant to Massachusetts General Laws Chapter 139, Section
38, 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 claimdocuments@afics.com
and be sure to reference the claim number in the subject line of your email.
Please contact me with any questions.
Sincerely,
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Philip Stiebel
Claims TPA Property Independent Adjuster
AFICS on behalf of Homesite Insurance Company
Phi€ip.Stiebel @afics.com
Phone: 1-254-237-9183 1 Fax: 1-866-935-2858
Mail: 6000 American Parkway, Madison, WI 53783-0001
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