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HomeMy WebLinkAboutInsurance Letter - Correspondence - 89 GRAY STREET 9/14/2023 GEICO Insurance Agency, LLC Underwritten By: Homesite Insurance Company Of New York Tel: 1-800-566-1518 HOW- INSU ANee:Homesite Fax: 1.866-935-2858 6000 American Parkway Madison,WI 53783-0001 66259002 NN RP 1620230916 NNNNNNNN 0000241 0002 Claim Number: 01-006-698129 TOWN CLERK Date Of Loss: 09/14/2023 120 MAIN ST Policy Number: 40465722 NORTH ANDOVER, MA 01845-2420 Policyholder: Diana Decaro I1I1I1-I1,11111111k-11II'I1il'11II1141111III1III Jill II , September 15 2023 P 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 38 Our Insured: DIANA DECARO Property Address: 89 Gray St North Andover, MA, 01845-6301 Policy Number: 40465722 Claim Number: 01-006-698129 Date of Loss 09/14/2023 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 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 36 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, UWga6t x¢ Nina Adams Claim Adjuster II AFICS on behalf of Homesite Insurance Company of New York Antonesia.Adam.s@afics.com Phone: 1-920-330-3570 1 Fax: 1-866-935-2858 Mail: 6000 American Parkway, Madison, WI 53783-0001 Page 1 of 1 fJiL4})2117I IU D 13 NLn71611N1418&3111 Ole})2616P)2 ea211141T 345W W-e137G)I12J4) PneIg2