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Liberty !1' utual Liberty Mutual Insurance
" New England Region Central Property Unit
INSURANCE 75 Sylvan Street
Danvers,MA 01923
Tel:(800)566-0323
July 1,2015
Town of North Andover
Attn:Building Inspector
120 Main Street
North Andover,MA 01845
Re: Property Address: 148 Main St Apt B 233,North Andover, Ma 01845
Policy Number: H6221236653440
Underwriting Company: Liberty Mutual Fire Insurance Company
Claim Number: 031939016-0001
Date of Loss: 1/9/2015
Attn: Town/City Official
Pursuant to M.G.L. c. 139, § 3B, please be aware that a homeowners insurance claim has been made
involving loss, damage or destruction of the above captioned property, which may either exceed
$1,000.00 or causes the condition of a building or other structure to render Mass. General Laws, Ch.
143, 5 6 applicable. You are required to notify Liberty Mutual by certified mail in accordance with
Mass. General Laws Ch. 175, §99, if you intend to initiate proceedings designed to perfect alien
pursuant to Mass. General Laws, Ch. 139, S 3A &B, or Mass. General Laws, Ch. 143, � 9, or Mass.
General Laws,Ch. 111, 5 127B.
This letter should not be construed as a waiver or estoppel of any of the terms, conditions or
defenses afforded by the policy or applicable law.
Please direct your notice to the attention of the undersigned and include a reference to the above
captioned property address,policy number,claim number,and date of loss.
Sincerely,
Liberty Mutual Support
Liberty Mutual Insurance
New England Region Central Property Unit
1-800-566-0323