HomeMy WebLinkAboutMiscellaneous - 140 HICKORY HILL ROAD 4/30/2018 (3) PO Box 55098
Boston,MA 02205-5098
817-951-0600
AMMM
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: ELENA FIGLER
Property Address: 140 HICKORY HILL ROAD,NORTH ANDOVER, MA
Policy Number: HMA 0308558
Claim Number: BOS00049611
Date of Loss: 2/18/2015
Company: Safety Indemnity Insurance Company
Claim has been made involving loss, damage or destruction of the above-captionedro ert ,
p P Y
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, 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.
Temistocles Devers Claim Examiner 2/19/2015
Safety Insurance Company
Homeowners Claims Unit
P. O. Box 55098
Boston, MA 02205-5098
Phone: (617) 951-0600 EXT 5415
Fax: (617) 535-5868
Email: TemistoclesDevers@SafetyInsurance.com