HomeMy WebLinkAboutInsurance Claim W. Springfield, MA Pittsfield, MA
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Building Commissioner or Board of Health or
Inspector of Buildings Board of Selectmen
Town of Yarmouth Town of Yarmouth
1146 Route 28 1146 Route 28
South Yarmouth, MA 02664 South Yarmouth, MA 02664
Attention: Records Attention: Records
COMPANY: Certain Underwriters at Lloyd's, London c/o Quaker Special Risk
POLICY NUMBER: QSRMA17205
CLAIM NUMBER: QSRMA 17205
INSURED: Zi Qian Zhang
LOSS LOCATION: 228 Route 28, West Yarmouth, MA
DATE OF LOSS: 07/16/2019
DESCRIPTION: Property - Other
OUR FILE NUMBER: CCI19-7275
To Whom It May Concern:
Claim has been made involving loss, damage, or destruction of the above captioned property which
may either exceed $1,000, or cause Massachusetts General Law, Chapter 143, Section 6, to be
applicable. If any notice under Massachusetts General Law, Chapter 139, Section 3B, is appropriate,
please direct it to the attention of this writer and include a reference to the captioned insured,
location, policy number, company claim number, date of loss, and claim or file number.
Sincerely,
Paul Battaglino R -E
Paul Battaglino AUG 26 2019
Claims Adjuster
BUILDING, DEPARTMENT
P—617-479-2619 By
F—617-479-1740
paulb@georgebutleradjusters.com
On this date, I caused copies of this notice to be sent to the persons named above at the address
indicated above, by first class mail.
Secretary
August 23, 2019
P.O. Box 1557, Mattapoisett,MA 02739