HomeMy WebLinkAboutNotice of Loss 6/17/26 Providing Insurance and Financial Services StateFarme
Home Office,Bloomington,IL
September 10,2026
Yarmouth Building Department State Farm Claims
Yarmouth Town Hall PO Box 106169
1146 Route 28 Atlanta GA 30348-6169
South Yarmouth MA 02664 R E C E A 1! D
3EP282026
BUILDING DEPARTMENT
By.
CERTIFIED MAIL:RETURN RECEIPT REQUESTED
RE: Claim Number: 21-0G5R-783
Our Insured: Colton B Ellison
Date of Loss: June 17,2026
Loss Location: 19 Clinton Dr,Yarmouth Port,MA 02675-2075
Tax Block: N/A
Tax Lot: N/A
To Whom It May Concern:
- State Farm Fire&Casualty Insurance Company writes to provide-notice as rereql-firetfy
Massachusetts law in connection with the matter referenced above.State Farm®received notice
of loss or damage in excess of$1,000 at 19 Clinton Dr.Yarmouth Port,MA.
We hereby notify your office pursuant to General Laws c.139,§3B that State Farm
intends to make a payment of$1,000 or more in connection with the above referenced
insurance claim.
Further,the applicable amendatory Policy Endorsement informs the insured of the
Massachusetts requirement by stating the following:
"We are required by Massachusetts law that we must notify the local inspector of
buildings or Board of Health at least 10 days before we make a payment of$1,000 or
more for loss to a building or structure.
We must also give notice if there is damage which makes a building a health or safety
hazard or dangerous or unsafe for occupancy regardless of the amount of our payment.
if,prior to payment, we receive official notice of a pending or existing lien against your
premises,we must delay payment until the matter is settled.If we are required to pay all
or part of the amount of the lien,we will not be obligated to pay that amount to you."
If you have questions or need assistance,call us at(844)458-4300 Ext.40294.
21-0G5R-783
Page 2
September 10, 2026
Sincerely,
David McHugh
Claim Specialist
(844) 458-4300 Ext. 40294
State Farm Fire and Casualty Company