35 FLINT ST APT 101_ 12.6.23_ CLAIM ■
Progressive Home, by Homesite
PROGREJJ/UE 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
69258002 NN RP 21 20231221 NNNNNNNN 00D4M 0013 Claim Number: 01-007-044530
CITY CLERK Date Of Loss: 12/06/2023
93 WASHINGTON ST Policy Number: 31639270
SALEM, MA 01970-3593 Policyholder: Lorna Davies And Loma Davies
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December 20,2023
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 3B
Our Insured: LORNA DAVIES
Property Address: 35 Flint St Apt 101 Salem, MA, 01 970-32 54
Policy Number: 31639270
Claim Number: 01-007-044530
Date of Loss 12/06/2023
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,
GZ4"irw M�C�
Clarissa McKinney
Associate Desk Adjuster
AFICS on behalf of Homesite Insurance Company of the Midwest
Clarissa.Mckinney @ afics.com
Phone: 1-608-722-3884 1 Fax: 1-866-935-2858
Mail: 6000 American Parkway, Madison, WI 53783-0001
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