HomeMy WebLinkAboutInsurance Notice of Claim - Correspondence - 12/17/2018 @) MAPFFIE I INSURANCE®
December 17, 2018
BUILDING COMMISSIONER/INSPECTOR
TOWN/CITY HALL
North Andover, Ma 01845
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RE: PROPERTY DAMAGE TO 105 SULLIVAN ST
NORTH ANDOVER, MA
Named Insured: Jessica Manuel
Claim Number: RCAK47
Date of Loss: 12/14/2018
Policy Number: BGMSQQ
Policy Period: 2/25/2018-2/25/2019
NOTICE OF DAMAGES POSSIBLY EXCEEDING $1,000
AND
MGL CHAPTER 143 AND 11 NOTICE
To Whom It May Concern:
Citation Insurance Company has been advised of property damage at the above referenced
address that may exceed $1,000 in total damages and hereby so advise.
Pursuant to Massachusetts General Law, Section 6 of Chapter 143, notice also is provided that
said property damage could be of danger to life and limb or cause the building to become
unused, uninhabited or abandoned and open to the weather.
Please directly advise the undersigned if any proceedings or lien notices under Massachusetts
General Laws, Chapter 143, Section 3A or 9; or Chapter 111, Section 127E are applicable.
Please direct said correspondence to the undersigned's attention and reference the above
captioned insured, the loss location and our claim number on any correspondence.
Please contact the undersigned with any questions at 1-800-221-1605, ext. 15916.
Sincerely,
CITATION INSURANCE COMPANY
Elena Bourassa
Claim Representative
MAIL: 11 Gore Rd, Webster, MA 01570
MA BOP PD Notice of Damages Exceeding$1000 and MGL 143 and 111 Notice(Ed. 12/18)