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Home My WebLink AboutNotice of Loss 111223 NO GEICO Insurance Agency, LLC E C 0 e E Underwritten erwr By: Homesite E IV -M-•- D Homesite Insurance Company Of New York Tel: 1-800-566-1518 HOME INSURANCE (� Q Fax: 1-866-935-2858 6000 American Parkway [ NOV27 2023 Madison,WI 53783-0001 BUILDING DEPARTMENT 66259002 NN RP 18 20231118 NNNNNNNN 0003542 0012 im Number: 01-006-928645 TOWN CLERKS OFFICE Date Of Loss: 11/12/2023 1146 ROUTE 28 Policy Number: 40135559 SOUTH YARMOUTH, MA 02664-4463 Policyholder: David Sherlock And David Sherlock IuIIIiiiiIIIIIIIiIiiIII'l111111IIIIIIIiuIII1'1111IIIuiiIIIIiIII'I November 17, 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: DAVID SHERLOCK Property Address: 24 Conservation Dr Yarmouth Port, MA, 02675-1416 Policy Number: 40135559 Claim Number: 01-006-928645 Date of Loss 11/12/2023 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, Kad& Kaitlin Royce Claim Adjuster II AFICS on behalf of Homesite Insurance Company of New York REDS Kaitlin.Royce@afics.com Phone: 1-608-621-9854 I Fax: 1-866-935-2858 Mail: 6000 American Parkway, Madison, WI 53783-0001 NOV 2 7 2023 TOWN CLERK SOUTH YARMOUTH, MA Page 1 of 1