HomeMy WebLinkAboutInsurance Notice of Claim - Correspondence - 139 COTUIT STREET 6/18/2018 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston,Massachusetts 02108-1904
(617)723-3800 Ma Only(8001392-6108,FAX(800)851.8424
6/20/2018
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: ROBERT J&PATRICIA ZIEBE
Property Address: 139 COTUIT ST, NORTH ANDOVER,MA 01845
Policy Number: -1187954
Type Loss: Windstorm Other than Hurricane orTornad
Date of Loss: 06/1812018
Claim Number: 429949
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_1.43,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
GMA00021