HomeMy WebLinkAboutNotice of Loss 121723 '1'0
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75 Sam Fonzo Drive I Beverly, Massachusetts 01915
INSURANCE' Claims Department
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CdMPoll 800.227.2757 I Electnclnsurance.com
December 18, 2023
Building Commissioner or
Inspector of Buildings
1146 Route 28
South Yarmouth, MA 02664
RE: Insured: ELIZABETH BLANCH
Claim Number: 20231218A40
Policy Number: H 100002663
Date of Loss: December 17, 2023
Property Address: 11 BAYRIDGE DR YARMOUTH PORT, MA 02675-1564
Form of Notice of Casualty Loss to Building
Under Massachusetts General Laws Chapter 139, Sec. 3B
Claim has been made involving loss, damage or destruction to the above-captioned property, which may
equal or exceed $1,000 or cause Massachusetts General Laws, Chapter 143, Section 6 to be applicable.
If any notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate, please direct to
the attention of the undersigned and include a reference to the captioned insured, location, policy
number, date of loss and claim or file number.
On December 18, 2023 copies of this notice were sent by first class mail to the entities and addresses
noted herein.
Sincerely.
Thomas Esposito
Claims Specialist
RECEIVED
DEC 2 6 2023
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