HomeMy WebLinkAboutNotice of Loss 6/3/24 W. Springfield, MA ,, r Pittsfield, MA
(413)781-2897 ,� (888)881-4598
Quincy, MA Worcester MA
(617)479-2619 (888) 881-4598
Mattapoisett, MA a # 1 siersCape Cod & Islands
(508)758-6633 (888) 881-4598
Rhode Island Hartford, CT
(888)881-4598 BUTLER (888) 881-4598
Building Commissioner or Board of Health or
Inspector of Buildings Board of Sele en
Town of Yarmouth Town of . outh
1146 Route 28 1146 'oute 28
South Yarmouth, MA 02664 S• •th Yarmouth, MA 02664
Attention: Records • ttention: Records
COMPANY: Certain Underwriters at Lloyds, London do Vanguard Claims
Administration, Inc.
POLICY NUMBER: XSZ208426
CLAIM NUMBER: XS 10911
INSURED: Kishor K Patel A/O Kiran K Patel A/O AUM Corp dba Super 8
Motel
LOSS LOCATION: 41 Route 28, West Yarmouth, MA
DATE OF LOSS: 06/03/2024
DESCRIPTION: Vehicle Property Damage
OUR FILE NUMBER: P24-13850
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
chris.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
June 21, 2024
PO Box 1557,Mattapoisett,MA 02739