HomeMy WebLinkAboutNotice of Loss 71222 1100 Crown Colony Drive
P.O.Box 699195
Quincy,MA 02269-9952
AR B E L 617.328.2800
INSURANCE GROUP arbella.com
July 14, 2022
ED
YARMOUTH BUILDING COMMISSIONER R E C E I V
1146 ROUTE 28 JUL 18 2022
SOUTH YARMOUTH, MA 02664
BUILDING DEPARTMENT
By'. --
Claim Number: 034282703
Company Name: Arbella Protection Insurance Company
Date of Loss: 07/12/2022
Insured: NUNTINEE KUNGSAWARN
Property Location: 38 SOUTH AUTUMN DR, SOUTH YARMOUTH, MA
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 or cause Massachusetts General Laws, 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 the writer. Please include a reference to the captioned insured, location, date of loss
and claim number.
Thank you for your assistance.
Best regards,
Steven Chartier
Claim Service Specialist
Property Claim Office
800-272-3552 ext. 7556
Fax 617-773-4760