HomeMy WebLinkAboutInsurance Notice of Claim - Homeowner License Exemption - 21 PARKER STREET 11/3/2018 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
November 6, 2018
ANDOVER BUILDING COMMISSIONER F
120 MAIN STREET,FIRST FLOOR
NORTH ANDOVER, MA 01845
Claim Number; 033975914
Policy Number: 08113400006
Company Name: Arbella Mutual Insurance Company
Date of Loss: 11/03/2018
Insured: RENEE KELSEN
Property Location: 21 PARKER ST,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 3B 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,
Melissa Ross
Claim Service Specialist
Property Claim Office
800-272-3552 ext. 2489
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