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Home My WebLink AboutMiscellaneous - 310 BEAR HILL ROAD 4/30/2018 BEAR HILL ROAD J/ 210/0/0 64.0-0135-0000.0 1 PO Box 55098 Boston,MA 022055098 617-951-0600 _ I WANK- 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: ROBERT LUCIANO and DONNA LUCIANO Property Address: 310 BEAR HILL RD,NORTH ANDOVER, MA Policy Number: HMA 0392469 Claim Number: BOS00052924 Date of Loss: 2/27/2015 Company: Safety Indemnity Insurance Company Claim has been made involving loss, damage or destruction of the above-captioned property, which may either exceed $1,000.00 or cause Mass. Gen. Laws, Chapter 143, Section 6 to be applicable. If any notice under Mass. Gen. Laws, Chapter 139, Section 3B is appropriate,please direct it,to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim number. David McDermott Claim Examiner 3/4/2015 Safety Insurance Company Homeowners Claims Unit P. O. Box 55098 Boston,MA 02205-5098 Phone: (617).951-0600 EXT 3537 Fax: _(617-) 603-4866 tmail.:,DavidMeDerinott@$afetylnsura.nce.com i I