HomeMy WebLinkAboutInsurance Notice of Claim - Correspondence - 345 CHESTNUT STREET 3/8/2018 Form of Notice of Casualty Loss to Building
Under MASS. GEN. LAWS, Ch. 139, Sec. 3B
To: Building Commissioner or
Inspector of Buildings
120 Main Street
North Andover, MA 01845
RE: Insured: John & Sharon Libront
Property Address: 345 Chestnut Street
Company: Merrimack Mutual Fire Insurance Company
Policy/Claim Number: HP2101714, HP2101714
Date/Cause of Loss: 3/812018, Windstorm/Fallen Tree
Our File Number: 35638-M
Claire has been made involving loss, damage or destruction of the above captioned property,
which may either exceed $1,000.00 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.
Mike Peterson, Ext, 115
On this date, 1 caused copies of this Notice to be s t-.to-the-p rsons named above at the
addresses indicated above by First Class Mail.
_ 114
C
Signature and Date
ANDERSON ADJUSTMENT CO., INC.
50 Nashua Road, Suite 303
PO Box 1098
Londonderry, NH 03053
Cc: Health Department North Andover Fire Department
120 Main Street 795 Chickering Road
North Andover, MA 01845 North Andover, MA 01845