HomeMy WebLinkAboutInsurance Notice of Claim - Correspondence - 3 HARVEST DRIVE 310 1/21/2019 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
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Boston,Massachusetts 02108-1904
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1/2312019
Form of Notice of Casualty Loss to Building
Under Mass.Gen. Laws,Ch.139, Sec 3B j
NORTH ANDOVER BUILDING COMMOSSIONER
NORTH ANDOVER TOWN HALL
NORTH ANDOVER MA 01845
Re: Insured: AMY DIEM LE
Property Address: 3 HARVEST DR, UNIT 310,NORTH ANDOVER,MA 01845
Policy Number: 1431345
Type Loss: Freezing
Date of Loss: 01121/2019
Claim Number 435196
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 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