HomeMy WebLinkAboutInsurance Notice of Claim - Correspondence - 45 ELM STREET 3/18/2018 MASSACHUSETTS PROPERTY INSURANCE UNOEW°JRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108.1904
(617)723.3800 Ma Only(800)392.6108, FAX(800)851-8424
7/2/2018
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws,Ch.139,Sec.313
NORTH ANDOVER BUILDING COMMOSSIONER
NORTH ANDOVER TOWN HALL
NORTH ANDOVER MA 01845
Re: Insured: CHRISTOPHER ALLEN AND CYNTHIA ALLEN
Property Address: 45 ELM ST,NORTH ANDOVER,MA 0,1945
Policy Number: 1405507
Type Loss: Water Damage; Plumbing Systems
Date of Loss: 03/18/2018
Claim Number: 430248
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 143,section_6 to be applicable. If any
notice under Massachusetts General Laws Cha ter 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
CMA00021