HomeMy WebLinkAboutInsurance Notice of Claim - Correspondence - 3 HARVEST DRIVE 112 1/21/2019 Safety Insurance
auro•HOME •BUSINESS
P.O. Box 55098
Boston MA 02205
617-951-0600
January 23, 2019
Building Commissioner or Inspector of Buildings
Fire Department or Arson Squad
Board of Health or Board of Selectman
City Hall
NORTH AN DOVE R, MA 01845
Insured* MARGRET LYNN NORSWORTHY
Property Address: 3 HARVEST DRIVE #112, NORTH ANDOVER MA
Policy Number: HMA0410021
Claim Number: BOS00089218
Date of Loss: 1121/2019
Notice of Loss Under M.G.L. c. 139,§3B
This communication shall serve as written notice pursuant to M.G.L. c. 139, § 313 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 3B, M.G.L. c. 143, § 9 or M.G.L. c. 111, § 127B, 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 3549.
Sincerely,
Pat O'Sullivan
Claim Examiner