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Home My WebLink AboutACFrOgAscRlsGEXtbvOrLZptaFWsdbiUbmGZbif...xixH70DUcBUULTGumrOD8C0gvL2l_wGKffCrw= �� 0�� ^�*��%� ��'��¢��~.~- AUTO ° HOME ° BUSINESS P.O, Box 55OA8 Boston yW/\O2205 817-951-0600 February O1. 2O1S Building Commissioner or Inspector ofBuildings Fire Department mr Arson Squad Board of Health or Board of Selectman City Hall NORTH ANOOVER. K8AO1845 Insured: JAK8ES BRACKEN and CATHER|NEBRACKEN Property Address: 85BR{}{}KV|EVV DRIVE, NORTH ANDOVEFlN1A Policy Number: HKUA0233236 Claim Number: R{]800089512 Date ofLoss: 1/18/2019 Notice of Loss Under M.G.L. c. 139, 3B This communication shall serve as written notice pursuant to M.G.L. o. 189. § 3Bthmt [Safety Insurance Company] ("Safety") has received a claim involving loss, damage or destruction to a building or other structure at the above-referenced address which may either: (1) meet or exceed $1.000; or C2\ o@UGe the condition or the building or other structure to render M.G.L o. 148. § 6 applicable. |n accordance with KU.G.Lo. 138. 3B. ifthe city o[town intends to initiate proceedings designed bo perfect a lien under Section 3B. K8.G.Lc. 143. GS0[ yW.G.Lc. 111. 8137B. please notify Safety Vf the same bv certified mail. Kindly fowvard such notice torny attention, ot 'the addrmaa indicated above, and include with such notice m reference t0the above-described insured, property address, policy number and claim number. If you have any questions regarding this notice, please feel free to contact me directly at 617-951-0600EXT3549. 5/noeno|y, Pat O'Sullivan C|minn Examiner ® The Commerce Insurance Company'"' MAPFRE Citation InsuranceCompany'm 11 Gore Road,Webster,Massachusetts 01570 INSURANCE" 508,949.1500 www.mapfreinsurance.com February 04, 2019 a BUILDING COMMISSIONER or Board of Health or INSPECTOR OF BUILDINGS Board of Selectmen TOWN/CITY HALL Town/City Hall NORTH ANDOVER MA 01845 RE: Our Insured: MICH.AEL,DAMHACH Property Address: 25-27 CLARENDON ST Policy#: HQT616 Date of Loss: 02/01/2019 File#: RHWH29-PCAVA4 Claim has been made involving loss, damage, or destruction of the above captioned property which may exceed $1,000, or cause Massachusetts General Laws, Chapter 143, Section 6 to be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate, please direct it to my attention. Please reference the above captioned insured, location, policy number, date of loss, and file number on any correspondence. KEVINHANSEN Telephone: (508)949-1500Ext: 15903 Sr Claim Representative, Property Toll Free: 1-800-221-1605, Ext: 15903 On this date, I cause copies of this notice to be sent to the persons indicated.above, at the address above, by first class mail February 04, 2019 CIC 254 (Rev.4/95) MAIL KH1 ® The Commerce Insurance Company"' MAPFRE Citation Insurance Company"' 11 Gore Road,Webster,Massachusetts 01570 INSURANCE" 508.949.1500 WWw.mapfreinsurance.com a p February 08, 2019 M a BUILDING COMMISSIONER or Board of Health or f INSPECTOR OF BUILDINGS Board of Selectmen TOWN/CITY HALL Town/City Hall NORTH ANDOVER MA 01845 RE: Our Insured: JAIAES E BROWN/MARL ENE BROWN Property Address: 29 EDMANDS RD Policy#: E38198 Date of Loss: 12/01/2018 File#: RJAH62-PCJYR4 Claim has been made involving loss, damage, or destruction of the above captioned property which may exceed $1,000, or cause Massachusetts General Laws, Chapter 143, Section 6 to be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate, please direct it to my attention. Please reference the above captioned insured, location, policy number, date of loss, and file number on any correspondence. JANNA SUTTON Telephone: (508)949-1500 Ext: 15918 Claim Representative I, Property Toll Free: 1-800-221-1605,Ext: 15918 On this date, I cause copies of this notice to be sent to the persozis indicated above, at the address above,by first class mail. February 08, 2019 a B pqq N CIC 254 (Rev.4/95) M.A.IL M67 AMERICAN CLAIMS SERVICE MULTI-LINE ADJUSTERS Letter 143 January 30, 2019 Town of North Andover I Building Department 120 Main Street North Andover, MA 01645 Attention: Building Inspector Board of Health and/or Board of Selectman Insured: Sgrosso Location: 40 Equestrian Drive North Andover, MA 0184 Policy: PHO 0100 75 66 24 t Loss date: January 24, 20191/24/19 Loss Type: Pipe leak ACS File: 190031 Gear Sir/Madam, Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 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, loss date and file. Can this date, January 30, 2019, 1 caused copies of this notice to be sent to the persons named above at the addresses indicated above by first class mail. Unless a response is received within the next ten days we will not be obligated to pay any portion of this claim to you. Respectfully ubt-pitted, Claims representative 7 KIMBALL LANE BUILDING C LYNINFI1 L , MA 01940 I-10 N 791-246-9516 FAX 791-245-1077 �2.'t"12...4 . ) ft'ip"..t..:,,net The Commerce Insurance Company"' MAPFIRE Citation Insurance Company1m 11 Gore Road,Webster,Massachusetts 01570 INSURANCE* 508.949.1500 jwww.mapfreinsurance.corn January 25, 2019 BUILDING COMMISSIONER or Board of Health or INSPECTOR OF BUILDINGS Board of Selectmen TOWN/CITY HALL Town/City Hall NORTH ANDOVER MA 01845 RE: Our Insured: MART Ti ROSENBERGER/MICHAEL ROSENBERGER Property Address: 99 GRAY ST Policy#: HHJ547 Date of Loss: 0 1/23/2019 File#: RHMX44-PATJT5 Claim has been made involving loss, damage, or destruction of the above captioned property which may exceed $1,000, or cause Massachusetts General Laws, Chapter 143, Section 6 to be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate, please direct it to my attention. Please reference the above captioned insured, location, policy number, date of loss, and file number on any correspondence. ANGELA ENMAN Telephone: (508)949-1500 Ext: 15902 Claim Representative I, Property Toll Free: 1-800-221-1605, Ext: 15902 On this date, I cause copies of this notice to be sent to the persons indicated above, at the address above,by first class mail. January 25, 2019 CIC 254 (Rev.4/95) MAIL Y50 3' Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS, Ch. 139, Sec. 3B 9 To: Building Commissioner or Inspector of Buildings 120 Main Street North Andover, MA 01845 RE: Insured: Judith Pulzetti Property Address: 209 Greene Street Company: Commerce Insurance Company Policy/Claim Number: BCKLQR, RHWT05 Date/Cause of Loss: 2/2/2019, Pipe(s) Froze & Burst Our File Number: 36775-M Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause MASSACHUSETTS GENERAL LAWS, CHAPTER 143, SECTION 6, to be applicable. If any notice under MASSACHUSETTS GENERAL 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 or file number. Mike Peterson, Ext. 115 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. Signature and Date ANDERSON ADJUSTMENT CO., INC. 50 Nashua Road, Suite 303 PO Box 1098 Londonderry, NH 03053 Cc: Health Department North Andover Fire Department 120 Main Street 795 Chickering Road North Andover, MA 01845 North Andover, MA 01845 The Commerce Insurance Company" MAPFRE Citation Insurance Company1m 11 Gore Road,Webster,Massachusetts 01570 INSURANCE* 508.949.1500 jwww.mapfreinsurance.corn February 05, 2019 BUILDING COMMISSIONER or Board of Health or INSPECTOR OF BUILDINGS Board of Selectmen T TOWN/CITY HALL own/City Hall NORTH ANDOVER MA 01845 RE: Our Insured: JANICE PISCITELLI Property Address: 4 313 HARVEST DRIVE Policy#: BCHWBS Date of Loss: 10/12/2017 File#: RHWX56-PCCMW8 Claim has been made involving loss, damage, or destruction of the above captioned property which may exceed $1,000, or cause Massachusetts General Laws, Chapter 143, Section 6 to be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate, please direct it to my attention. Please reference the above captioned insured, location, policy number, date of loss, and file number on any correspondence. MARINA JANCZYK Telephone: (508)949-1500 Ext: 15905 Claim Representative 1, Property Toll Free. 1-800 221-1605, Ext: 15905 On this date, I cause copies of this notice to be sent to the persons indicated above, at the address above,by first class mail. February 05, 2019 MAIL MJ2 CIC 254 (Rev.4/95) 1100 Crown Colony Drive 01 P.O. Box 699195 A R B E L L A Quincy,MA 02269-9195 617.328.2800 INSURANCE GROUP arbella.com February 8, 2019 NORTH ANDOVER BUILDING COMMISSIONER 120 MAIN STREET, FIRST FLOOR NORTH ANDOVER, MA 01845 Claim Number: 033999885 Policy Number: 05086400006 Company Name: Arbella Indemnity Insurance Company Date of Loss: 01/14/2019 Insured: JOHN KAMAL Property Location: 80 MILLPOND,NORTH ANDOVER, MA To Whom It May Concern: A 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. Please include a reference to the captioned insured, location, date of loss and claim number. Thank you for your assistance. Sincerely, Cynthia Holden-Amur Claim Service Specialist Property Claim Office 800-272-3552 ext.7549 Fax 617-773-4760 CC:NORTH ANDOVER HEALTH DEPARTMENT 1600 OSGOOD STREET, BLDG 20, SUITE 2035 NORTH ANDOVER, MA 01845 CC:NORTH ANDOVER FIRE DEPARTMENT 795 CHICKERING ROAD NORTH ANDOVER, MA 01845 Buttenvorrthi. & O'TnoCe, -T-n_c,, ADJUSTERS/APPRAISERS ° FOR INSURANCE COMPANIES ONLY � P.O.Box 8294 SALEM,MA 01971-8294 TEL. (978)741-5731 FAX (978)740-9109 claims gbutterworthotoole.com 01/28/2019 FORM OF NOTICE OF CASUALTY LOSS TO BUILDING UNDER MASS. GEN. LAWS, CH. 139, SEC. 3B TO: Building Inspector & North Andover Fire Department & Health Inspector 120 Main Street 795 Chickering Road 120 Main Street North Andover, MA 01845 North Andover, MA 01845 North Andover, MA 01845 RE: Insured: Jami Marshall Address: 178 Old Cart Way North Andover, MA 01845 Policy No.: 3017541 Loss of: 01/25/2019 Water/Burst Pipe File or Claim No.: 091-0081 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. Brad Doherty Adjuster Member of National Association of Independent Insurance Adjusters INDEPENDENT CLAIMS SERVICE, INC. Service - Integrity • Experience Notice of Casualty Loss to Building Under Massachusetts General Laws, Chapter 139, Section 3B February 8, 2019 North Andover, MA Building Inspector 120 Main Street North.Andover, MA 01845 North Andover, MA Board of Health 120 Main Street North Andover, MA 01845 j North Andover, MA Fire Department 124 Main Street North Andover, MA 01845 INSURED: James Heckman ADDRESS: 14 Robinson Ct,North Andover ,MA 01845 LOCATION OF LOSS: 14 Robinson Ct,North Andover ,MA 01845 COMPANY: Narragansett Bay Insurance POLICY#: 10331343 CLAIM#: 19-80534 DATE OF LOSS: 09/13/2018 TYPE OF LOSS: Water Dear Sir or Madam: Independent Claims Service is the insurance adjusting firm hired by the above referenced client to handle the captioned loss on behalf of their insured. A claim 'has been fnade involving loss, damage, or destruction of the above-captioned property which may either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143, Section 6 to be applicable. If notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate, please bring it to our attention, and include a reference of the captioned insured: Location, policy number, and/or date of loss. Sincerely, :INDEPENDENT CLAIMS SERVICE,INC. 22 Water Street Westborough, MA 01 581 • 508.366.8535 FAX .508.366.091 7 www.icsdaims.con7 Safety Insurance AUTO• HOME + BUSINESS P.O. Box 55098 Boston MA 02205 617-951-0600 January 28, 2019 Building Commissioner or Inspector of Buildings Fire Department or Arson Squad Board of Health or Board of Selectman City Hall NORTH ANDOVER, MA 01845 Insured: JOHN C CARON Property Address: 50 ROCKY BROOK RD, NORTH ANDOVER MA Policy Number: HMA0458107 Claim Number: BOS00089358 Date of Loss: 1/24/2019 Notice of Loss Under M.G.L. c. 139 3B This communication shall serve as written notice pursuant to M.G.L. c. 139, § 3B that [Safety Insurance Company] ("Safety") has received a claim involving loss, damage or destruction to a building or other structure at the above-referenced address which may either: (1) meet or exceed $1,000; or(2) cause the condition or the building or other structure to render M.G.L. c. 143, §6 applicable. In accordance with M.G.L. c. 139, § 3B, if the city or town intends to initiate proceedings designed to perfect a lien under Section 313, M.G.L. c. 143, § 9 or M.G.L. c. 111, § 1278, please notify Safety of the same by certified mail. Kindly forward such notice to my attention, at the address indicated above, and include with such notice a reference to the above-described insured, property address, policy number and claim number. If you have any questions regarding this notice, please feel free to contact me directly at 617-951-0600 EXT 3213. Sincerely, Allan Leavitt Claim Examiner ® The Commerce Insurance Company"' MAPFRE Citation Insurance Company"' 11 Gore Road,Webster,Massachusetts 01570 INSURANCE 508.949.1500jwww.mapfreinsurance.com January 25, 2019 BUILDING COMMISSIONER or Board of Health or INSPECTOR OF BUILDINGS Board of Selectmen TOWN/CITY HALL Town/City Hall NORTH ANDOVER MA 01845 RE: Our Insured: FRANK ROSSI/LINDA ROSSI Property Address: 67 SUNSET ROCK RD Policy#: BCLVKK Date of Loss: 01/24/2019 File#: RHMV86-PATPH6 Claim has been made involving loss, damage, or destruction of the above captioned property which may exceed $1,000, 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 my attention. Please reference the above captioned insured, location, policy number, date of loss, and file number on any correspondence. KE VIN HANSEN Telephone: (508)949-1500 Ext: 15903 Sr Claim Representative, Property Toll Free. 1-800-221-1605,Ext:15903 On this date, I cause copies of this notice to be sent to the persons indicated above, at the address above, by first class mail. January 25, 2019 CIC 254 (Rev.4/95) MAIL KH1 1100 Crown Colony Drive P.O. Box 699195 A R B E L L A Quincy,MA 02269-4195 617,328.2800 INSURANCE GROUP arbel[a.Com February 6, 2019 NORTH ANDOVER BUILDING COMMISSIONER 120 MAIN STREET, FIRST FLOOR NORTH ANDOVER, MA 01845 Claim Number: 033999257 Policy Number: 30349400003 Company Name: Arbella Mutual Insurance Company Date of Loss: 02/05/2019 Insured: AVEDIS GARAVANIAN Property Location: 34 WILLOW RIDGE RD,NORTH ANDOVER, MA To Whom It May Concern: A 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. Please include a reference to the captioned insured, location, date of loss and claim number. Thank you for your assistance. Sincerely, Cynthia Holden-Amor Claim Service Specialist Property Claim Office 800-272-3552 ext.7549 Fax 617-773-4760 CC: NORTH ANDOVER HEALTH DEPARTMENT 1600 OSGOOD STREET, BLDG 20, SUITE 2035 NORTH ANDOVER, MA 01845 CC: NORTH ANDOVER FIRE DEPARTMENT 795 CHICKERING ROAD NORTH ANDOVER, MA 01845