HomeMy WebLinkAbout2023 Property Loss Notice W. Springfield, MA Pittsfield, MA
(413) 781-2897 (888) 881-4598
Quincy MA 4Worcester, MA
(617)479-2619 (888) 881-4598
Mattapoisett, MA Cape Cod & Islands
(508) 758-6633
(888) 881-4598
Rhode Island NrIC. Hartford, CT
(888) 881-4598 BUTLER (888) 881-4598
Building Commi ..oner or Board of Health or
Inspector of : . dings Board of Selectmen
Town of .rmouth Town of Yarmouth
1146 ' : to 28 1146 Route 28
Sou Yarmouth, MA 02664 South Yarmouth, MA 02664
• ention: Records Attention: Records
COMPANY: _ __ Certain Underwriters at Lloyds, London c/o Vanguard Claims__
Administration, Inc.
POLICY NUMBER: XSZ188814
CLAIM NUMBER: XS 10254
INSURED: Rabih S Bassil SaSi
LOSS LOCATION: 47 Sisters Circle, Yarmouth Port, MA
• DATE OF LOSS: 01/26/2023 FEB 2,a3
DESCRIPTION: Fire
OUR FILE NUMBER: P23-12907 HEALTH DEPT.
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 31, 2023
209 Park Avenue,West Springfield,MA 01089
1