Claim of Loss The Commerce Insurance Company
MAPFRE Citation Insurance Company
11 Gore Road,Webster,Massachusetts 01570
INSURANCE' 508.949.15001 www.mapfreinsurance.com
August 13,2018
BUILDING COMMISSIONER or Board of Health or
INSPECTOR OF BUILDINGS Board of Selectmen
TOWN/CITY HALL Town/City Hall
YARMOUTH PORT MA 02675
RE: Our Insured: GERALD GARNICK
Property Address: 13 FOREST GT
Policy#: BGMLZC
Date of Loss: 08/10/2018
File#: PVHJ25-NPVXY6
Claim has been made involving loss, damage, or destruction of the above captioned
property which may exceed $1,000, or cause Massachusetts General Laws, Chapter 143,
Section 6 to be applicable.
If any notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate,
please direct it to my attention. Please reference the above captioned insured, location,
policy number, date of loss, and file number on any correspondence.
MARIA RIVAS Telephone: (508)949-1500 Ext: 15057
Sr Claim Representative,Property Toll Free: 1-800-221-1605,Ext:15057
On this date, I cause copies of this notice to be sent to the persons indicated above,at the
address above,by first class mail.
August 13,2018
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CIC 254 (Rev.4/95) MAIL Z55