HomeMy WebLinkAboutNotice of Loss 2423 W. Springfield, MA Pittsfield, MA
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Building Commissioner or Board of Health
Inspector of Buildings Board of Sel- men
Town of Yarmouth Town of .rmouth
1146 Route 28 1146 •ute 28
South Yarmouth, MA 02664 So Yarmouth, MA 02664
Attention: Records A tention: Records
COMPANY: Certain Underwriters at Lloyds, London c/o Vanguard Claims
Administration, Inc.
POLICY NUMBER: DSHOC 1110
CLAIM NUMBER: DI01815 RECEIVED
INSURED: Vincent& Sheila Juliani
LOSS LOCATION: 67 Sullivan Road, West Yarmouth, MA FEB 2 4 2023
DATE OF LOSS: 02/04/2023
DESCRIPTION: Freeze Up BUILDING DEPARTMENT
OUR FILE NUMBER: P23-13040 BY.
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
February 16, 2023
209 Park Avenue,West Springfield,MA 01089