HomeMy WebLinkAboutMiscellaneous - 381 SUMMER STREET 4/30/2018 (2)PO Box 55098
Boston, MA 02205-5098
617-951-0600 - — - - - - —
•.r r.
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: CRAIG- MCQUATE and MARY ELLEN MCQUATE - -
Property Address: 381 SUMMER ST, NORTH ANDOVER, MA
Policy Number: HMA 0355678
Claim Number: BOS00056304
Date of Loss: 3/3/2015
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 writerand include a reference to the captioned insured, location,
policy number; date of loss and claim number.
Lindsey Hodgens Claim Examiner 3/18/2015
Safety Insurance Company
Homeowners Claims Unit
P. O. Box 55098
Boston, MA 02205-5098