HomeMy WebLinkAboutInsurance Notice of Claim - Correspondence - 2 HARVEST DRIVE 205 9/24/2018 (3) MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston,Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392.6108. FAX(800)851.8424
1014/2018
Form of Notice of Casualty Loss to Building
Under Mass, Gen. Laws,Ch,139,Sec.3B
NORTH ANDOVER BUILDING COMMOSSIONER
NORTH ANDOVER TOWN HALL
NORTH ANDOVER MA 01845
Re: Insured: GLORIA PAULSEN
Property Address: 2 HARVEST DR UNIT 205, NORTH ANDOVER, MA 01845
Policy Number: 1462625
Type Loss: All Other Section I Losses
Date of Loss: 09/2412018
Claim Number: 432770
Claim has been made involving loss,damage or destruction of the above captioned property,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 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.
MPIUA Claims Division
CMA00021