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Home My WebLink AboutNotice of Loss 7/1/24 GEICO Insurance Agency, LLC Underwritten By: Homesite Homesite Insurance Company Of California Tel: 1-800-566-1518 Fax: 1-866-935-2858 HOME INSURANCE 6000 American Parkway Madison,WI 53783-0001 66259002 NN RP 02 20240702 NNNNNNNN 0014994 0049 Claim Number: 01-007-793266 TOWN CLEARK'S OFFICE Date Of Loss: 06/30/2024 1146 ROUTE 25S0 Policy Number: 40987429 S YARMOUTH, MA 02664 Policyholder: Mary Lord 'llIllhu1III111111iIIuII11.111IIIuIu111.11IllII'Il'IIlIIIlIIIIlII 5PH @f T "-.W. , CI CLERK ?_r'`s_ July24 1 20 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: MARY LORD Property Address: 8 Cobb Ave Yarmouth Port, MA, 02675-2431 Policy Number: 40987429 Claim Number: 01-007-793266 Date of Loss 06/30/2024 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, Bobbie Hamlett Desk Adjuster RECEIVED AFICS on behalf of Homesite Insurance Company of California ---- --- Bobbie.Hamlett@afics.com Phone: 1-608-621-9801 I Fax: 1-866-935-2858 JUL 0 9 2024 Mail: 6000 American Parkway, Madison, WI 53783-0001 BUILDING DEPARTMENT By.____---- Page 1 of 1 66259002 NN flP 02 20240702 NNNNNNNN 0014994 0049 0069662-1066+4614-91,07-409e679660ee Pepe 1 412