HomeMy WebLinkAboutInsurance Notice of Claim Unit 4313 - Correspondence - 4 HARVEST DRIVE 313 2/5/2019 ® The Commerce Insurance Company"
MAPFRE Citation Insurance Company"A
11 Gore Road,Webster,Massachusetts 01570
INSURANCE 508.949,1500 www.mapfreinsurance.com
February 05, 2019
BUILDING COMMISSIONER or Board of Health or
INSPECTOR OF BUILDINGS Board of Selectmen
TOWN/CITY HALL Town/City Hall
NORTH ANDOVER MAO1845
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 I, 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
CIC 254 (Rev.4/95) MAIL MJ2
1100 Crown Colony Drive
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 E
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 313 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
Butte 1'1vorth. & 0 Too e, Inc.
ADJUSTERS/APPRAISERS
FOR INSURANCE COMPANIES ONLY
P.O.BOX 8294
SALEM,MA 01971-8294
TEL. (978)741-5731
FAX (978)740-9109
claim s@butterworthotoole xoan
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 I43 Section G to be applicable. If any notice under Mass. Gen. Laws,
Ch. 139, See.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
p
Mewher of
National Association of Independent insurance Adjusters
INDEPENDENT
CLAIMS SERVICE, INC.
Service • Integrity • Experience
Notice of Casualty Loss to Building
i
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
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 clami 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
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.
i
I
22 Water Street + Westborotagh,MA 01 581 + 508.3W8535 FAX 508.3W091 7 wwwRsclairns.com