HomeMy WebLinkAboutNotice of Loss 21324 W. Springfield, MA Pittsfield, MA
(413) 781-2897 (888)881-4598
Quincy, MA Worcester, MA
(617)479-2619 (888)881-4598
Mattapoisett, MA Cape Cod& Islands
(508) 758-6633 (888) 881-4598
Rhode Island Hartford, CT
(888)881-4598 (888) 881-4598
Building Commissioner or Board of Health
Inspector of Buildings Board of Sel men
Town of Yarmouth Town of armouth
1146 Route 28 1146 oute 28
South Yarmouth, MA 02664 S th Yarmouth, MA 02664
Attention: Records Attention: Record
COMPANY: Certain Underwriters at Lloyds, London c/o Vanguard Claims
Administration, Inc.
POLICY NUMBER: XSZ211710
CLAIM NUMBER: XS10818
INSURED: The Judith A Edmunds Trust Judith Edmunds Trustee
LOSS LOCATION: 19 Columbus Avenue, West Yarmouth, MA
DATE OF LOSS: 02/13/2024
DESCRIPTION: Power Surge
OUR FILE NUMBER: P24-13686
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
chri s.troy @georgebutleradj usters.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 4
February 16, 2024 FED 23 2024
�K, d1
P.O.Box 1557,Mattapoisett,MA 02739