HomeMy WebLinkAboutInsurance Letter - Correspondence - 738 WAVERLY ROAD 8/18/2023 GE|C[> Insurance Agency, LLC
Underwritten By:
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@O0o American Parkway
Madison,YV|5@7OO-0U01
6626900 wmnpco202308mwwmwmmwwmm`nmo00n Claim Number: 01'006'585875
NORTH N ERTOVNHALL Date O[Loss:
OV1V/2V23
Policy Number: 38088720
�-- MAIN —'NORTH AWD8VER. MAO1845'242U Policyholder:Policyholder: John Havinan And Maria Pcloni
August 22. 2O23 nw�
ATTENTION: Building Commissioner or Inspector of Buildings Fire Department or Arson Squad, Board of Health of-
Board of Selectmen C8] City orTown Ho||
NOTICE PURSUANT TC} MASS. GEN. LAWS, CHAPTER 139. SECTION 313
Out-Insured: J[)HNHAV|{|AN
Property Address: 738VVevedmyRd North Andover, MA, O1846-4266
Policy Number: 38038720
Claim Number: 01'008'585075
Date ofLoss 08/18/2023
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 toa building other structure which may either
exceed$1,000 or cause Massachusetts General Laws, Chapter 143, Section 6 to be applicable.
U any notice pursuant toMassachusetts General Laws Chapter 13S. Section 30 |o appropriate, | direct Such
notice to my attention and kind|y, Pursuant to the information provided above, include the |nsured's name, address,
policy number, claim number and date of loss. If you contact LIS via email, please use claimdocuments@afics.com
and bo sure to reference the claim number|n the subject line of Your email.
Please contact me with any questions.
Sincerely,
Vonm#aPerkins
Claim Adjuster|
AF|CSon behalf ofHomeoiba Insurance Company
Vengtta.PerKinm@ afica.com
Phone: 1-808'722-44691 Fax: 1'880'935-2858
Mail: 8ODD American Parkway, Madison, VV| 53783'O001
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