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Home My WebLink AboutMiscellaneous - 623 TURNPIKE STREET 4/30/2018I Safety Insurance �Wo Po Box-55098- Boston, ox 55098 -Boston, MA 02205 ` 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: ` " MAUREEN AMIGO Property Address: 623 TURNPIKE ST, NORTH ANDOVER, MA Policy Number: HMA 0018200 Claim Number: BOS00066156 Date of Loss: 11/24/2015 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. Allan Leavitt Claim Examiner Safety Insurance Company Homeowners Claims Unit P. O. Box 55098 Boston, MA 02205-5098 Phone: (617) 951-0600 EXT 3213 Fax: (617) 531-8891 Email: AllanLeavitt@Safetylnsurance.com 12/1/2015