HomeMy WebLinkAboutInsurance Letter - Correspondence - 79 MOODY STREET 8/8/2023 1111111111110
GEICO Insurance Agency, LLC
Underwritten By;
Homesite Insurance Company Of New York
HomesiteTek 1-800-566-1518
1101AL IN Srlsl NO' Fax: 1-866-935.2858
6000 American Parkway
Madison,WI 53783-0001
66259002 NN HP 10 20230810 NNNNNNNN 0004282 0015 Claim Number; 01-006-535770
CITY OF NORTH ANDOVER- BUILDING DEPARTMENT Date Of Loss; 08/08/2023
120 MAIN ST Policy Number; 39007968
NORTH ANDOVER, MA 01845-2420 Policyholder: Hunter Ripsom-gardiner
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August 9, 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: HUNTER RIPSOM-GARDINER
Property Address: 79 Moody St North Andover, MA, 01845-1713
Policy Number: 39007968
Claim Number: 01-006-535770
Date of Loss 08/08/2023
This correspondence shall serve as notice that, pursuant to Massachusetts General Laws Chapter 139, Section
36, 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,
7Z"
Thomas Wuelper
Claim Adjuster ii
AFICS on behalf of Homesite Insurance Company of New York
Thomas.Wuelper@afics.00m
Phone: 1-857-248-8047 1 Fax: 1-866-935-2858
Mail: 6000 American Parkway, Madison, WI 53783-0001
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