HomeMy WebLinkAboutMiscellaneous - 148 MAIN STREET 4/30/2018 (37) `q- 6,j NL
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Safety Insurance
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
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RE: Insured: LORRAINE PALUMBO
Property Address: 148 MAIN STREET UNIT F342,NORTH ANDOVER, MA
Policy Number: HMA 0113712
Claim Number: BOS00030646
Date of Loss: 7/2/2012
Company: Safety Insurance Company
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, 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.
Eric Hunter Claim. Examiner 7/5/2012
Safety Insurance Company
Homeowners Claims Unit
P. O. Box 55098
Boston, MA 02205-5098
Phone: (617) 951-0600 EXT 5205
Fax: (617) 603-4910
Email: EricHunter@Safetylnsurance.com