HomeMy WebLinkAboutINSURANCE CLAIM CLAIM DEPARTMENT
101 HIGH STREET P. O. BOX 40, NORWICH, CT 06360 FOUNDED 1840
INSURANCE COMPA NI($.' (860)887-3553-CT 1-800-962-0800-MA-RI 1-800-243-4080-FAX(860)886-8270-www.nicinsurance.com
September 22, 2022
Inspector of Buildings RECEIVED
1146 Rt. 28
Yarmouth, MA 02664 18EP 2 6 2022
SUBJECT: Insured: Ann L Fontaine BUILDING DEPARTMENT
By'
Property Address: 30 Skyline Drive, West Yarmouth, • . -
Policy Number: 15033216H0
Date of Loss: 09/11/22
Claim Number: 22H 1001603
To Whom It May Concern:
A claim has been made involving loss, damage, or destruction of the above captioned property, which
may either exceed $1,000.00 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 the writer and include reference to the captioned insured, location,
policy number, date of loss, and claim number.
On this date, copies of this notice have been sent by first class mail to the municipal officials for the
property address listed above.
Sincerely,
Scue_
Steve L. Lubanski ' tAi