HomeMy WebLinkAboutNotice of Loss 8/26/24 (4)
sedgwick0
David Zito,Regional General Adjuster
David.Zito@Sedgwick.com
100 Corporate Drive,Suite 210
Windsor,Connecticut.06095
Direct(413)896-7938
Office(860)296-0261
Fax(860)296-0581
Form of Notice of Casualty Loss to Building
Under Massachusetts General Laws Chapter 139,Section 3B
September 13,2024
Yarmouth Building Department
Yarmouth Town Hall
1146 Route 28
South Yarmouth,Massachusetts 02664
INSURED KINGS WAY CONDOMINIUM TRUST
LOSS LOCATION 42 John Hall—Kings Way Condominium
Yarmouth Port, MA 02675
RECEIVED
POLICY NO. VARIOUS
CO.CLAIM NO. VARIOUS LSEP 17 2024
TYPE OF LOSS Water Damage
DATE OF LOSS 8/26/2024 BUILDING DEPARTMENT
By
SEDGWICK FILE# : NYC24976000
To whom it may concern:
Claim has been made involving loss,damage or destruction of the above-captioned property,
which may either exceed$1,000.00 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 it to the attention of the writer and include a reference
to the captioned insured,location,policy number,date of loss and claim or file number.
David Zito
Signature
Title: Regional General Adjuster
On this date,I caused copies of this notice to be sent to the person named above at the
addresses indicated above by First Class Mail.
David Zito 9/13/2024
Date&Signature
In