HomeMy WebLinkAboutClaim of Loss C Safety Insurance
AUTO•HOME •BUSINESS
P.O. Box 55098 , ?: l
Boston MA 02205 =-
617-951-0600
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CtC (IR 2818 J
November 28 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
YARMOUTH PORT, MA 02675
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Insured: GREGORY H SMITH and TINA M SMITH
Property Address: 18 SPINNAKER LANE, YARMOUTH PORT MA
Policy Number: HMA0135912
Claim Number: BOS00088416
Date of Loss: 11/26/2018
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.
If you have any questions regarding this notice, please feel free to contact me directly at
617-951-0600 EXT 2010. •
Sincerely,
Robert Krupa
Claim Examiner