HomeMy WebLinkAboutINS CLAIM 2020 W. Springfield, MAear _e Pittsfield, MA
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Quincy, MA Worcester, MA
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Mattapoisett, MA i ` `- Cape Cod& Islands
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Building Commissioner or Board of Health or
Inspector of Buildings Board of Selectmen
1146 MA-28 3195 Main Street, #Rr6a
South Yarmouth, MA 02664 Barnstable, MA 02630
Attention: Records Attention: Records
COMPANY: Certain Underwriters at Lloyds, London do Vanguard Claims
Administration, Inc.
POLICY NUMBER: XSZ146034
CLAIM NUMBER: XS07337
INSURED: Nassib & Eli Mahfouz
LOSS LOCATION: 22 Union Street, Yarmouth Port, MA
DATE OF LOSS: 01/19/2020
DESCRIPTION: Water
OUR FILE NUMBER: P20-10334
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,
Ed Dibona
Claims Adjuster
P—508-241-1923
F-508-758-6199
ed@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
January 24, 2020
P.O.Box 1557,Mattapoisett,MA 02739