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Insurance Claim Narragansett Bay Insurance January 13, 2020 Town of Yarmouth Building Department 1146 Route 28 South Yarmouth, MA 02664 RE: Policyholder: Patricia Sherman Policy Number: 11153393 Claim Number: 01MA11153393 Date of Loss: January 11, 2020 Loss Location: 21 MINNETUXET WAY, YARMOUTH PORT, MA 02675 To Whom It May Concern: Claim has been made involving loss, damage or destruction of the above referenced property, which may exceed either$1000 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 the attention of this writer and include a reference to the above captioned insured, location, date of loss, and claim number. Title: Property Claims Adjuster On this date, I caused copies of this notice to be sent to the persons named above at this address indicated above by first class mail. Sincerely, Charles Ferrari Property Field Claims Examiner 401-495-8945 cferrari@nbic.com PO Box 820 I Pawtucket,Rhode Island 02862 t 401.725.5600 I f 401.721.0700 I www.nbic.com