HomeMy WebLinkAboutNotice of Loss 010523 W. Springfield, MA
(413) 781-2897 Pittsfield, MA
(888) 881-4598
Quincy, MA
(617)479 2619 Worcester, MA
(888) 881-4598
Mattapoisett, MA
(508) 758-6633 Cape Cod& Islands
(888) 881-4598
Rhode Island
(888)881-4598 Hartford, CT
(888) 881-4598
Building Commissioner or Board of Health or
Inspector of Buildings Board of Selectmen
Town of Yarmouth Town of Yarmouth
1146 Route 28 1146 Route 28
South Yarmouth, MA 02664 South Yarmouth, MA 02664
Attention: Records Attention: Records
COMPANY: Certain Underwriters at Lloyds. London c/o Vanguard Claims
Administration, Inc.
POLICY NUMBER: XSZ197629
CLAIM NUMBER: XS 10107
INSURED: Clipper Ship Cove Condo RECEIVED
LOSS LOCATION: 183 S South Unit A2, South Yarmouth, MA
DATE OF LOSS: 10/14/2022 BAN 0 5 2923
DESCRIPTION: Water •
OUR FILE NUMBER: P22-12715 BUILDING DEPARTMENT
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,
Chris Troy
Claims Adjuster
P—(401) 241-5373
F—617-479-1740
cluis.troy@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
November 8, 2022
P.O. Box 1557, Mattapoisett,MA 02739