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HomeMy WebLinkAboutMiscellaneous - 2218 TURNPIKE STREET 4/30/2018N MSafety insurance P.O. Box 55098 Boston, MA 02205-5098 1-617-951-0600 July 26, 2016 Building Commissioner or Inspector of Buildings Fire Department or Arson Squad Board of Health or Board of Selectmen City Hall NORTH ANDOVER, MA 01845 Insured: AUGUSTO J PAVAO and GILDA PAVAO Property Address: 2218 TURNPIKE ST, NORTH ANDOVER, MA Policy Number: HMA 0326393 Claim Number: BOS00070791 Date of Loss: 7/23/2016 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, § 313, 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 below, 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 EXT 3213. Sincerely, Allan Leavitt Claim Examiner Safety Insurance �Wo P.O. Box 55098 Boston, MA 02205-5098 1-617-951-0600 August 11, 2016 Building Commissioner or Inspector of Buildings Fire Department or Arson Squad Board of Health or Board of Selectmen City Hall NORTH ANDOVER, MA 01845 Insured: AUGUSTO J PAVAO and GILDA PAVAO Property Address: 2218 TURNPIKE ST, NORTH ANDOVER, MA Policy Number: HMA 0326393 Claim Number: BOS00070791 Date of Loss: 7/23/2016 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 below, 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 EXT 3213. Sincerely, Allan Leavitt Claim Examiner Po Box 55098 Boston, AAA 022055098 617-951-0600 •.�135 2015 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: AUGUSTO J PAVAO and GILDA PAVAO Property Address: 2218 TURNPIKE ST, NORTH ANDOVER, MA Policy Number: HMA 0326393 Claim Number: BOS00050787 Date of Loss: 2/17/2015 Company: Safety Indemnity 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. DeGary Simmons Claim Examiner 2/23/2015 Safety Insurance Company Homeowners Claims Unit P. O. Box 55098 Boston, MA 02205-5098 Phone: (617) 95170600'EXT 3290.1. _ Fax _ . - Email DeG@Simmons@SafetyInsurance com :. _