HomeMy WebLinkAboutNotice of Loss 2/2/26 Progressive Home, by Homesite
"0�+p /�REff�y`//c Underwritten By:
Homesite Insurance Company Of New York
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Tel:1-866-960-8609
Fax:1-866-935-2858
6000 American Parkway
Madison,WI 53783-0001
Claim Number: 01-009-578981
000404FC6500M01000002442 001 Date Of Loss: 02/02/2026
Policy Number: 42643569
• '11 TOWN CLERKS OFFICE !der: Margaret Bateman
Qr: 1146 ROUTE 28
SOUTH YARMOUTH MA 02664-4491
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FEB 0 9 2026
February 4, 2026
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: MARGARET BATEMAN
Property Address: 16 Union St Yarmouth Port, MA, 02675-1935
Policy Number: 42643569
S Claim Number: 01-009-578981
0 Date of Loss 02/02/2026
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This correspondence shall serve as notice that, pursuant to Massachusetts General Laws Chapter 139, Section
g 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.
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0 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.
1%. Please contact me with any questions.
Sincerely,
CAix4,(Cire4 Waft
Christopher Forkin
Desk Adjuster
AFICS on behalf of Homesite Insurance Company of New York
Christopher.Forkin@afics.com
Phone: 1-608-621-9552 I Fax: 1-866-935-2858
Mail: 6000 American Parkway, Madison, WI 53783-0001
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