HomeMy WebLinkAboutInsurance Letter - Correspondence - 55 ROSEMONT DRIVE 8/18/2023 Progressive Home, byHomesito
Underwritten By:
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00oV American Parkway
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6625900 mwnpzue02xm22nwwwwwwwwm,`m^02v QaimNumbon 01-008-585771
TO` ` ANDDVER Date CULoss:
08/18/20oo
Policy Number: 3900o447
NORTH-- '— ^~ ~^()VER, KAAD1845'2420 Policyholder; Gu|houMukk|And HamadMaj|clz*dah
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August 21. 2O23 mm
ATTENTION: Bui|d|D Commissionern[ |DspecbzrcdBV||dingsFi[eDepahmentorAnsonGqUad` BoardufH8a|Uhor
Board ofSe|e��menC/O City or Town Hall
NOTICE PVRSU/\0TT0 KV/\SD, GEN. L/\VVS' CHAPTER 139' SECTION 38
Our Insured: GOL8OUMAKK|
Property Address: 55 Rosemont [}r North Andover, MA, 01845-4736
Policy Number: 39080447
Claim Number: 01'006'585771
Date of Loss 0018/2023
This correspondence shall serve aanotice that, pursuant ho Massachusetts General Laws Chapter 13S, Section
313' a claim has been made involving loss, damage [destruction tVa building other structure which may either
exceed $1'8Q0orcause Massachusetts General Laws, Chapter 143^ Section 6tobeapplicable.
If any notice pursuant to Massachusetts General Laws Chapter, 139, Section 313 is appropriate, | direct Such
notice tonny attention and kindly, pursuant to the information provided above, include the imeunmd's name, address,
policy number, claim number and date of loss, If You contact us via email, please use claii-ndocuments@afics.com
and be sure tV reference the claim number|n the subject line of your email.
Please contact me with any questions.
Ginnnns|y.
Tyler Silk
Claim Adjuster|
AF|CSon behalf nfMonneeita Indemnity Company
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Phone: 1'6O8'821-A878 | Fax: 1'886'935-2858
Mail: S0OO American Parkway, Madison, VV| G3783'80O1
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