HomeMy WebLinkAboutMiscellaneous - 11 MILLPOND 4/30/2018 i
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NORTH ANDOVER HEALTH DEPARTMENT
120 Main Street • North Andover, MA 01845
Telephone (508) 682-6483, Ext. 32
Complaint Investigation/Inspection Report
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INSPECTOR
MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617) 723-3800, Ma Only(800) 392-6108, Fax (617) 557-5675
08/13/02
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch. 139, Sec.313 giiiiNof NORTH AN—D-01VER-7-
BOARD OF HEALTH
FAUG 2 6 2002
NORTH ANDOVER HEALTH DEPT. _. ,
NORTH ANDOVER TOWN HALL
NORTH ANDOVER MA 01845
Re: Insured: JOHN & ELEANOR GILBOARD
Property Address: 11 MILL POND, NORTH ANDOVER, MA 01845
Policy Number: 0464167
Type Loss: Water Damage
Date of Loss: 07/15/02
Claim Number: 193188
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Claim has been made involving loss, damage or destruction of the above captioned property,
which may either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143,
Section 6 to be applicable. If any notice under Massachusetts General Laws, chapter 139,
Section 3 B 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 or file
number.
MPIUA Claims Division
CMA00021
MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617) 723-3800, Ma Only (800) 392-6108, Fax (617) 557-5675
03/22/01
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch. 139, Sec.313
NORTH ANDOVER HEALTH DEPT.
NORTH ANDOVER TOWN HALL
NORTH ANDOVER MA 01845
Re: Insured: JOHN & ELEANOR GILBOARD
Property Address: 11 MILL POND, NORTH ANDOVER, MA 01845
Policy Number: 0464167
Type Loss: Water Damage
Date of Loss: 03/22/01
Claim Number: 184988
Claim has been made involving loss, damage or destruction of the above captioned property,
which may either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143,
Section 6 to be applicable. If any notice under Massachusetts General Laws, chapter 139,
Section 3 B 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 or file
number.
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MPIUA Claims Division
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MAR 2 7 2001
CMA00021
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Proclaim Adjustment, Inc.
gregory e- cusick phone: 508-671-9424
fax: 508-667-4078
FORM NOTICE OF CASUALTYLOSS TO BUILDING
UNDER MASS. GEN. LA WS, CK 139, SEC. 3B
June 15, 1993
To: BUILDING COMMISSIONER/BUILDING INSPECTOR
North Andover Town Hall
North Andover, MA 01845
To: B OF HEALTH/BOARD OF SELECTMEN
North Andover Town Hall
North Andover, MA 01845
Insured.Millpond Homeowners'Association
Loss Location:Millpond Roadv-North=Andover;A 4
Cause/Date of Loss:Accidental Discharge of Water of 5/6/93
Policy No: 6120MO68465S
ProClaim's File No: 930315-C
Gentlemen:
Claim has been made involving loss, damage or destruction of the above-captioned
property, which may either exceed$1,000 or cause MASS. GEN. LAWS CHAPTER 143,
SECTION 6, to be applicable. If any notice under MASS. GEN. LAWS, CH. 139, SEC. 3B is
appropriate, lease direct it to the attention o the writer and include a reference to the
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captioned insured, location,policy number, cause and date of loss and file number.
On this date I have caused copies of this notice to be sent to the persons named above
and at the addresses indicated above by First Class Mail.
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Date:
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p.o. box 421
` billerica, massachusetts 01821
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Form of Notice of Casualty Loss to Building
Under MASS. GEN. LAWS, Ch. 139, Sec. 3B
TO: BUILDING COMMISSIONER OR
INSPECTOR OF BUILDINGS
North Andover Town Hall
North Andover, MA 01845
TO: `_BOARD OF HEALTH OR
\BOARD OF SELECTMEN,,
,North-Andover Town Hall
North Andover, MA 01845;
RE: Insured: John&Eleanor Gilboard
Property Address: 11 Millpond
North Andover,MA
Policy Number: HP1491804
Date/Cause of Loss:3/29/92- Water Damage
File or Claim No: 93600-C
CLAIM HAS BEEN MADE INVOLVING LOSS, DAMAGE OR DESTRUCTION OF THE ABOVE-CAPTIONED PROPERTY, WHICH
MAY EITHER EXCEED $1,000.00 OR CAUSE MASS. GEN. LAWS. CHAPTER 143, SECTION 6, TO BE
APPLICABLE. IF ANY NOTICE UNDER MASS. GEN. LAWS, CH. 139, SEC. 313 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 OR FILE NUMBER.
Gregory E. Cusick, General Adjuster
ON THIS DATE, I CAUSED COPIES OF THIS NOTICE TO BE SENT TO THE PERSONS NAMED ABOVE AT THE ADDRESSES
INDICATED ABOVE BY FIRST CLASS MAIL.
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/Ignatum an ate
- HALLMARK CLAIM SERVICES -
Lakeside Office Park, Door 8,Wakefield, MA 01880
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