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HomeMy WebLinkAboutMiscellaneous - Exception (143)I MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION Two Center Plaza Boston, Massachusetts 02108-1904 (617)723-3800 Ma Only (800)392-6108, FAX (800)851-8424 NORTH ANDOVER HEALTH DEPT. NORTH ANDOVER TOWN HALL NORTH ANDOVER MA 01845 Form of Notice of Casualty Loss to Building Under Mass, Gen. Laws, Ch. 139, Sec.3B RECEIVED DEC 2 9 2008 TOWN OF N(`- ,%iVUJUER HEALTH HRTMENT Re: Insured: HAMID ZOHDI Property Address: 48 FERNVIEW AVE UNIT 10, NORTH ANDOVER, MA 01845 Policy Number: 1000880 Type Loss: Freezing Date of Loss: 12/12/2008 Claim Number: 258436 Claim has been made involving loss, damage or destruction of the above captioned propert, which may either exceed $1000.00 or cause Massachusetts General Laws, Chapter 143 section 6 to be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 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. MPIUA Claims Division CMA00021 12/17/2008 BUTTERWORTH & O'TOOLE, INC. P.O. BOX 8294 SALEM, MA 01971-8294 ADJUSTERS/APPRAISERS FOR INSURANCE COMPANIES ONLY TELEPHONE (978) 741-5731 - ; FAX (978) 740-9109 September 09, 2003 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 Selectmen City/Town Hall ADDRESSES North Andover, MA 01845 RE: Insured: Irving Hilman i""��i°�✓1�1� Address: 48 Fla= Y Road City/Town Hall North Andover, MA 01845 #9 ✓ North Andover, MA 01845 Policy No.: H012237276 Loss of: 09/02/03 File or Claim No.: 031-1830 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 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. If no reply is received from your office within ten days, we will assume you have no liens of any type against this property and we will recommend to the insuring company that this claim is paid. Vicki Gardner Adjuster BUTTERWORTH & 01TOOLE, INC. P.O. BOX 8294 SALEM, MA 01971-8294 ADJUSTERS/APPRAISERS FOR INSURANCE COMPANIES ONLY TELEPHONE (978) 741-5731 FAX (978) 740-9109 v� of June 07, 2004 pF t-A00A OF , 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 Selectmen Citv/Town Hall ADDRESSES North Andover, MA 01845 RE: Insured: Irving Hilman Address: 48 Fernview Road #9 Citv/Town Hall North Andover, MA 01845 North Andover, MA 01845 Policy No.: H012237276 Loss of: 06/02/04 File or Claim No.: 040-1072 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 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. If no reply is received from your office within ten days, we will assume you have no liens of any type against this property and we will recommend to the insuring company that this claim is paid. Paul Dionne Adjuster TELEPHONE (978) 741-5731 June 07, 2004 BUTTERWORTH & 01TOOLE, INC. P.O. BOX 8294 SALEM, MA 01971-8294 ADJUSTERS/APPRAISERS FOR INSURANCE COMPANIES ONLY FAX (978) 740-9109 FORM OF NOTICE OF CASUALTY LOSS TO BUILDING UNDER MASS. GEN. LAWS, CH. 139, SEC. 3B TO: Building Commissioner or Inspector of Buildings City/Town Hall ADDRESSES 15 4 Board of Health or Board of Selectmen City/Town Hall North Andover, MA 01845 North Andover, MA 01845 RE: Insured: Irving Hilman - Address: 48 Fernview Road #9 North Andover, MA 01845 Policy No.: H012237276 Loss of: 06/02/04 File or Claim No.: 040-1072 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 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. If no reply is received from your office within ten days, we will assume you have no liens of any type against this property and we will recommend to the insuring company that this claim is paid. Paul Dionne Adjuster