HomeMy WebLinkAboutInsurance Letter - Correspondence - 21 ANNIS STREET 9/8/2023 GEtCO Insurance Agency, LLC
Underwritten By:
Homesite Insurance Company Of Illinois
HomesiteTel: 1-800-566-1518
HOME INSURANCE Fax: 1-866.935-2858
6000 American Parkway
Madison,Wt 53783-0001
66259002 NN RP 13 20230913 NNNNNNNN 0013497 003o Claire Number: 01-006-673270
TOWN CLERK OFFICE Date of Loss: 09/08/2023
36-BArFFFEEf-ST �� (� r Policy Number: 38766723
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13 Policyholder: Virginie Kamuene And Jordie Kamuene
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September 12 2023
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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 313
Our Insured: VIRGINIE KAMUENE
Property Address: 21 Annis St North Andover, MA, 01845-3401
Policy Number: 38766723
Claim Number: 01-006-673270
Date of Loss 09/08/2023
This correspondence shall serve as notice that, pursuant to Massachusetts General Laws Chapter 139, Section
313, 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 313 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 clajmdocuments@afics.com
and be sure to reference the claim number in the subject line of your email.
Please contact me with any questions.
Sincerely,
AQUINAS JOHNSON
Claims TPA Property Independent Adjuster
AFICS on behalf of Homesite Insurance Company of Illinois
AQUINAS.JOHNSON@afics.com .
Phone: 1-866-382-7522 Ext. 2005 1 Fax: 1-866-935-2858
Mail: 6000 American Parkway, Madison, WI 53783-0001
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