HomeMy WebLinkAboutInsurance Notice of Claim - Correspondence - 545 BOXFORD STREET 3/15/2018 ® The Commerce Insurance Company'"'
MAPFRE Citation Insurance Company'"'
11 Gore Road,Webster,Massachusetts 01570
INSURANCE 508,949.1500Iwww.mapfreinsurance.com
March 15, 2018
BUILDING COMMISSIONER or Board of Health or
INSPECTOR OF BUILDINGS Board of Selectmen
TOWN/CITY HALL Town/City Hall
NORTH ANDOVER MA 01845
RE: Out Insured. ALEXANDER KLIMENKO/ELENA KLIXIENKO
Property Address: 545 BOXFORD ST
Policy#: BCGZDT
Date of Loss: 03/08/2018
File#: PJYW98-NCJMV4
Claim has been made involving loss, damage, or destruction of the above captioned
property which may exceed $1,000, 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 my attention. Please reference the above captioned insured, location,
policy number, date of loss, and file number on any correspondence.
JACKIE ACEVEDO Telephone: (508)949-1500 Ext: 19984
Claim Adjuster Toll Free: 1-800-221-1605, Ext: 19984
On this date, .I cause copies of this notice to be sent to the persons indicated above, at the
address above, by first class mail.
March 15, 2018
CIC 254 (Rev.4/95) MAIL 144