HomeMy WebLinkAboutMiscellaneous - 676 OSGOOD STREET 4/30/2018 (3) C5
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CUSTARD
INSURANCE ADJUSTERS.
5/20/2015
Gerald Brown Inspector of Buildings
1600 Osgood Street
Building 20, Suite 2035
North Andover,MA 01845
Claim Number: 03358981.8
Policy Number: 46485400004
Company Name: Arbella Mutual Insurance Company
Date of Loss: 2/20/2015
Insured: Tiffany Jesudian
Property Location: 676 osgood St.
North Andover, MA 01845
To Whom It May Concern:
Claim has been made involving loss, damage, or destruction of the above captioned property,
which may either exceed $1,000 or cause Massachusetts General Laws, Chapter 143, Section 6,
to be applicable.
If any notice under Massachusetts General Law, Chapter 139, Section 3B is appropriate,please
direct it to the attention of the writer. Kindly include a reference to the captioned insured,
location, date of loss and claim number.
Very truly yours,
Arbella Mutual Insurance Company
PO Box 699225
Quincy,MA 02269
CC: City/Town Fire Dept, City/Town Health Dept
Insurance Adjustment Service, Inc.
172 Route 101 Unit. 25
Bedford, NH 031.10
(603) 606-7901
Fax (603) 606-7911
UNDER MASSACHUSETTS GENERAL LAWS CHAPTER 139, SECTION 38
Date:4/27/2005
TO: Building.Inspector
RE: Insured: Tiffany& leonidas Jesudian
�_._
Property Address: P.O. Box 113/676 Osgood St.
North Andover, MA 01845
Date of Loss: 3/9/2005
Policy Number: BP2364944
Type of Loss: roof leak-wtr dmg
File or Claim Number: 22153
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. 3B is appropriate, please direct that information to my attention and include a
reference to the captioned insured, location, date of loss and claim or file number.
Thank you for your cooperation.
Very tru yours,
� I
RECEIVED
Aaron etien
Adjuster MAY 9 2005
Ext. 110
BUILDING DEPT.
Insurance Adjustment Service, Inc.
172 Route 101 Unit 25
Bedford, NH 03110
(603) 606-7901
Fax (603) 606-7911
UNDER MASSACHUSETTS GENERAL LAWS CHAPTER 139, SECTION 38
Date-4127/2005
TO: Board of Health
RE: Insured: Tiffany& leonidas Jesudian
Property YAddress: P.O. Box 113/676 Osgood St.�
North Andover, MA 01845
Date of Loss: 3/9/2005 RECEIVED
Policy Number: HP2364944 MAY 0 9 2005
TOWN ALTH p PTH RNDOVER
Type of Loss: roof leak -wtr dmg ARrMENT
File or Claim Number: 22153
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. 3B is appropriate, please direct that information to my attention and include a
reference to the captioned insured, location, date of loss and claim or file number.
Thank you for your cooperation.
7Caron
ly yours,
(gtien
Adjuster
Ext. 110