HomeMy WebLinkAboutClaim of Loss (2) �i Safety Insurance
AUTO•HOME•BUSINESS
P.O.Box 55098
Boston MA 02205
617-951-0600
April 10,2018
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Building Commissioner or Inspector of Buildings
Fire Department or Arson Squad
Board of Health or Board of Selectman
City Hall
WEST YARMOUTH, MA 02673
Insured: GERALDINE DYE WILSLON
Property Address: 441 BUCK ISLAND RD BRIARWOODHS,WEST YARMOUTH MA
Policy Number. HMA0287596
Claim Number: BOS00084376
Date of Loss: 4/8/2018
Notice of Loss Under M.G.L. c. 139.§3B
This communication shall serve as written notice pursuant to M.G.L. c. 139, §3B that[Safety
Insurance Company)("Safety')has received a claim Involving loss,damage or destruction to a
building or other structure at the above-referenced address which may either.(1) meet or exceed
$1,000;or(2)cause the condition or the building or other structure to render M.G.L c. 143,§6
applicable.
In accordance with M.G.L. c. 139, §3B, if the city or town intends to Initiate proceedings designed
to perfect a lien Under Section 3B, M.G.L. c. 143, §9 or M.G.L. c. 111,§ 127B, please notify
. Safety of the same by certified mail: Kindly forward such notice to my attention,at the address
indicated above, and Include with such notice a reference to the above-described insured,property
address,policy number and claim number.
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If you have any questions regarding this notice, please feel free to contact the directly at
617-951-0600 EXT 3461. .
Sincerely, ' '
Jeff Edwards
Claim Examiner •