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HomeMy WebLinkAboutNotice of Loss 101122 W. Springfield, MA Pittsfield, MA (413)781-2897 RECEIVED ECEIVE (888)881-4598 Quincy, MA F `�•---°-- Worcester, MA (617)479-2619 0 8 �O�`? (888) 881-4598 Mattapoisett, MA DECtC pe Cod& Islands (508)758-6633 BUILDING DEPARTMENT (888) 881-4598 Rhode Island (888)881-4598 BY: ARTiVENT --------._ Hartford, CT ------_ (888) 881-4598 Building Commissioner or Board of Health or Inspector of Buildings Board of Selec n Town of Yarmouth Town of outh 1146 Route 28 1146 ute 28 South Yarmouth, MA 02664 Scytit Yarmouth, MA 02664 Attention: Records Attention: Records COMPANY: Certain Underwriters at Lloyds, London c/o Vanguard Claims Administration, Inc. POLICY NUMBER: WSBA978174-03 CLAIM NUMBER: NE01727 INSURED: Maritime Heritage Research Laboratory LLC LOSS LOCATION: 674 Route 28, West Yarmouth, MA DATE OF LOSS: 10/11/2022 DESCRIPTION: Water OUR FILE NUMBER: P22-12759 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 abo,e at the address indicated above, by first class mail. Secretary December 5, 2022 209 Park Avenue. West Springfield. MA 01089