HomeMy WebLinkAboutNotice of Loss 02/05/23 S
GEICO Insurance Agency, LLC
Underwritten By:
Homesite Insurance Company
Homesite E C F i �9 C Tel: 1 800 566 1518
HOME INSURANCE Fax: 1-866-935-2858
6000 American ParkwayI a 1T � ^`-- '
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Madison,WI 53783-0001 MAY 18 2023
66259002 NN RP 09 20230509 NNNNNNNN 0001933 0008 BU,LDING DEPARTMEtjai Number: 01-006-102214 "
By Of Loss: 02/05/2023
1146TOWN CLERKS OFFICE Policy Number: 3703302/05/ 96
02
SOUTH ROUTE 28 Policyholder: Cynthia Legeyt
YARMOUTH, MA 02664-4463
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May 8, 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: CYNTHIA LEGEYT
Property Address: 891 Route 6a Yarmouth Port, MA, 02675-2121
Policy Number: 37033196
Claim Number: 01-006-102214
Date of Loss 02/05/2023
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,
G1eth'7 od
Chelsi Allard
Claim Adjuster II
AFICS on behalf of Homesite Insurance Company
Chelsi.Allard.1@afics.com
Phone: 1-920-330-5694 I Fax: 1-866-935-2858
Mail: 6000 American Parkway, Madison, WI 53783-0001
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