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LINCITHE The Cincinnati Insurance Company • The Cincinnati Indemnity Company
NNATI The Cincinnati Casualty Company • The Cincinnati Specialty Underwriters Insurance Company
INSURANCE COMPANIES The Cincinnati Life Insurance Company
Cindy PAM
Senior Claims Spedalist
August 15, 2022
Town of Yarmouthport
Building Dept.
c/o Town of Yarmouth
1146 Route 28
South Yarmouth, MA 02664
RE: insured: HAROLD LEVINE
Claim No.: 3969769
Policy No.: 05H011048231
Loss Date: 8/13/2022
Loss
Location: 16 Church StreetiYarmouthport, MA
Dear Sir/Madam,
I am writing on behalf of the Cincinnati Insurance Company to notify you pursuant to G.L. C. 139 §
3B that a claim has been made involving loss, damage, or destruction of the above-captioned
property that may exceed $1,000 or render applicable G. L. c. 143 §6.
Please direct to my attention any notices of intent to perfect a lien pursuant to the provisions of G.
L. c. 139§ 3A, G. L. c. 143 § 9, or G. L. c. 111 § 127B. Please include reference to the captioned
insured location, claim number, and date of loss on any correspondence, notice of lien, or
acknowledgement of receipt of this letter.
Sincerely,
• fibi
Cindy Prifti
Senior Claims Specialist
cc: Harold Levine
RogersGray RECEIVED
BUILDING DEL-ARTmE-NT
FA-116- 20j
-2-2
Mailing Address: PO Box 336 • Shrewsbury,MA 01545
emaikcindy priftlecinfin.com . Office:509 471 4257 . Fax:977 35L 703/1