HomeMy WebLinkAboutMiscellaneous - 37 HAMILTON ROAD 4/30/2018 (2)Form of Notice of Casualty Loss to Building
Under MASS. CEN. LAWS, Ch. 139, Sec. 3B
TO: BUILDING COMMISSIONER OR
INSPECTOR OF BUILDINGS
No. Andover Town Hall
No. Andover, MA 01845
TO: BOARD OF HEALTH OR
BOARD OF SELECTMEN
No. Andover Town Hall
No. Andover, MA 01845
RE: Insured.
PropertyAddress:
Policy Number:
Era
Martin P. & Carolyn L. K11Icourse
37 Hamilton Road
No. Andover, MA
HOS8700726
Date/Cause of Loss: 3126192. Windstorm
File or Claim No: 93615-L
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, CH. 139, SEC. 313 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 OR FILE NUMBER.
James A. Lee, General Adjuster
ON THIS DATE, I CAUSED COPIES OF THIS NOTICE TO BE SENT TO THE PERSONS NAMED ABOVE AT THE ADDRESSES
INDICATED ABOVE BY FIRST CLASS MAIL.
4anad Date
- HALLMARK CLAIM SERVICES -
Lakeside Office Park, Door 8, Wakefield, MA 01880