HomeMy WebLinkAboutNotice of Loss 81223 INN
GEICO Insurance Agency, LLC
Underwritten By:
Homesite Homesite Insurance Company Of The Midwest
Tel: 1-800-566-1518
HOME INSURANCE Fax: 1 866 935 2858
6000 American Parkway
Madison,WI 53783-0001
66259002 NN RP 15 20230815 NNNNNNNN 0002031 0008 Claim Number: 01-006-553670
TOWN'S CLERK OFFICE Date Of Loss: 08/12/2023
1146 ROUTE 28 Policy Number: 34401263
SOUTH YARMOUTH, MA 02664-4463 Policyholder: Nick Imad
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August 14, 2023
ATTENTION: Building Commissioner or Inspector of Buildings Fire Department or Arson Squad, Board of Health or
Board of Selectmen C/O City or Town Hall
NOTICE PURSUANT TO MASS. GEN. LAWS, CHAPTER 139, SECTION 3B
Our Insured: NICK IMAD
Property Address: 5 Wadsworth Ln Yarmouth Port, MA, 02675-2453
Policy Number: 34401263
Claim Number: 01-006-553670
Date of Loss 08/12/2023
This correspondence shall serve as notice that, pursuant to Massachusetts General Laws Chapter 139, Section
3B, a claim has been made involving loss, damage or destruction to a building or other structure which may either
exceed$1,000 or cause Massachusetts General Laws, Chapter 143, Section 6 to be applicable.
If any notice pursuant to Massachusetts General Laws Chapter 139, Section 3B is appropriate, please direct such
notice to my attention and kindly, pursuant to the information provided above, include the insured's name, address,
policy number, claim number and date of loss. If you contact us via email, please use claimdocuments@afics.com
and be sure to reference the claim number in the subject line of your email.
Please contact me with any questions.
Sincerely,
Dait COMait
Dan Conran
Claim Adjuster II
AFICS on behalf of Homesite Insurance Company of the Midwest
Dan.Conran@afics.com
Phone: 1-608-621-9880 I Fax: 1-866-935-2858
Mail: 6000 American Parkway, Madison, WI 53783-0001
ECE' IV "
cc: NICK IMAD R D
AUG 23 2023
BUILDING DEPARTMENT
BY:- ----
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