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HomeMy WebLinkAboutMiscellaneous - 109 BRENTWOOD CIRCLE 4/30/2018 �p C1ROlE `� - ----- -. �- / 109 BREN�p35-0�0 0 � -�---- -- _ -- 2101 Safety Insurance AUTO•HOME •BUSINESS P.O. Box 55098 Boston MA 02205 617-951-0600 November 13, 2017 Building Commissioner or Inspector of Buildings Fire Department or Arson Squad Board of Health or Board of Selectman City Hall NORTH ANDOVER, MA 01845 .Insured: DENIS J DRAGONAS Property Address: 109 BRENTWOOD CIRCLE, NORTH ANDOVER MA Policy Number: HMA0259634 Claim Number: BOS00079143 Date of Loss: 11/9/2017 Notice of Loss Under M.G.L. c. 139,§3B This communication shall serve as written notice pursuant to M.G.L. c. 139, § 3B that [Safety Insurance Company] ("Safety") has received a claim involving loss, damage or destruction to a building or other structure at the above-referenced address which may either: (1) meet or exceed $1,000; or(2) cause the condition or the building or other structure to render M.G.L. c. 143, § 6 applicable. In accordance with M.G.L. c. 139, § 3B, if the city or town intends to initiate proceedings designed to perfect a lien under Section 3B, M.G.L. c. 143, § 9 or M.G.L. c. 111, § 127B, please notify Safety of the same by certified mail. Kindly forward such notice to my attention, at the address indicated above, and include with such notice a reference to the above-described insured, property address, policy number and claim number. If you have any questions regarding this notice, please feel free to contact me directly at 617-951-0600, extension 5015. Sincerely, Jessica Tuccelli Claim Examiner � Safety Insurance AUTO•HOME •BUSINESS P.O. Box 55098 Boston MA 02205 617-951-0600 November 10, 2017 Building Commissioner or Inspector of Buildings Fire Department or Arson Squad Board of Health or Board of Selectman City Hall NORTH ANDOVER, MA 01845 Insured: DENIS J DRAGONAS _ Property Address: 109 BRENTWOOD CIRCLE, NORTH ANDOVER MA Policy Number: HMA0259634 Claim Number: BOS00079137 Date of Loss: 10/30/2017 Notice of Loss Under M.G.L. c. 139,§3B This communication shall serve as written notice pursuant to M.G.L. c. 139, § 3B that [Safety Insurance Company] ("Safety") has received a claim involving loss, damage or destruction to a building or other structure at the above-referenced address which may either: (1) meet or exceed $1,000; or(2) cause the condition or the building or other structure to render M.G.L. c. 143, § 6 applicable. In accordance with M.G.L. c. 139 3B, if the city or town intends to initiate proceedings designed to perfect a lien under Section 313, M.G.L. c. 143, § 9 or M.G.L. c. 111, § 127B, please notify Safety of the same by certified mail. Kindly forward such notice to my attention, at the address indicated above, and include with such notice a reference to the above-described insured, property address, policy number and claim number. If you have any questions regarding this notice, please feel free to contact me directly at 617-951-0600, extension 5015. . Sincerely,.; Pete Najarian Claim Examiner /i PO Box 55098 Boston,MA 02205-5098 617-951-0600 Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS, Ch. 139, Sec. 3B To: Building Commissioner or Board of Health or Inspector of Buildings Board of Selectman City Hall City Hall NORTH ANDOVER, MA 01845 NORTH ANDOVER, MA 01845 RE: Insured: DENIS J DRAGONAS ` Property Address: 109 BRENTWOOD CIRCLE,NORTH ANDOVER, MA Policy Number: HMA 0259634 Claim Number: BOS00049603 Date of Loss: 2/18/2015 Company: Safety Indemnity Insurance Company Claim has been made involving loss, damage or destruction of the above-captioned property, whichmay either exceed $1,000.00 or cause Mass. Gen. Laws, Chapter 143, Section 6 to be applicable. If any notice under Mass. Gen. 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 number. Mike Grauwiler Clain!Examiner 2/19/2015 Safety Insurance Company Homeowners Claims Unit P. O. Box 55098 Boston, MA 02205-5098 Phone: (617) 951-0600 EXT 2049 Fax: (617) 535-5855 Email: MikeGrauwiler@Safetylnsurance.com