17 DANIELS ST UNIT 1-CLAIM Progressive Home, by Homesite
PROGREWIT Underwritten By:
Homesite Insurance Company Of The Midwest
Tel: 1-866-960-8609
Fax: 1-866-935-2858
6000 American Parkway
Madison,WI 53783-0001
88259002 NN RP 1720230817 NNNNNNNN W04MI W18 Claim Number: 01-006-567838
BUILDING COMMISIONER Date Of Loss: 07/25/2023
98 WASHINGTON ST Policy Number: 37511807
SALEM, MA 01970-3506 Policyholder. Lisa Leblanc
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August 16, 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 318
Our Insured: LISA LEBLANC
Property Address: 17 Daniels St# 1, UNIT 1 Salem, MA, 01970-5214
Policy Number: 37511807
Claim Number: 01-006-567838
Date of Loss 07/25/2023
This correspondence shall serve as notice that, pursuant to Massachusetts General Laws Chapter 139, Section
38, 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 313 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,
S'�f* d~
Sterling Hepburn
Claim Adjuster II
AFICS on behalf of Homesite Insurance Company of the Midwest
Steding.Hepbum @afics.com
Phone: 1-608-722-2844 1 Fax: 1-866-935-2858
Mail: 6000 American Parkway, Madison, WI 53783-0001
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