HomeMy WebLinkAboutInsurance Notice of Claim - Correspondence - 3 HARVEST DRIVE 310 9/25/2018 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(6171723.3800 Ma Only(800)392.6108.FAX(800)851-8424
10/13/2018
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: AMY DIEM LE
Property Address: 3 HARVEST DR. UNIT 310,NORTH ANDOVER,MA 01845
Policy Number: 1431345
Type Loss: All Other Section I Losses
Date of loss: 09/25/2018
Claim Number: 432952 r
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
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