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Home My WebLink AboutInsurance Letter - Correspondence - 1478 GREAT POND ROAD 9/8/2023 ON GEICO Insurance Agency, LLC Underwrillen By: Homesite Insurance Company of New York Tel: 1-800-566-1518 110Mr INSIMANCH Homesite Fax: 1.866-935-2856 6000 American Parkway Madison,WI 53783-0001 66269002 NN RP 19 20230919 NNNNNNNN 0002597 0010 Claim Number: 01-006-703288 MERCHANT LOGO NORTH ANDOVER TOWN HALL Date of Loss 09/08/2023 120 MAIN ST Policy Number: 40027233 NORTH ANDOVER, MA 01845-2420 Policyholder: Kenneth Parks And Laura Parks II�II��II�IIIItrl��l�ll'II' III'I�II�I'�'�111"1I111111�'llJllr September 18, 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: KENNETH PARKS Property Address: 1478 Great Pond Rd North Andover, MA, 01845-1200 Policy Number: 40027233 Claim Number: 01-006-703288 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 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 ciaimdocuments@afics.com and be sure to reference the claim number in the subject line of your email. Please contact me with any questions. Sincerely, 47 7 &M RAA#&&g Ashlee Rodriguez Claim Adjuster I AFICS on behalf of Homesite Insurance Company of New York Ashlee.Rodriguez@afics.com Phone: 1-608-621-9931 1 Fax: 1-866-935-2858 Mail: 6000 American Parkway, Madison, WI 53783-0001 Page 1 of 1 ery2VIM rill I 1021)XX119 IItIMrIT4fIFIII M;97010 3ce�M1d 51;q-07-0}6tlwJcx.f256!E9c-a f:•;a Iol?