HomeMy WebLinkAboutInsurance Notice of Claim - Correspondence - 164 JOHNSON STREET 6/18/2018 AdMk
Safety Insurance
AUTO •NOME •BUSINESS
P.O. Box 55098
Boston MA 02205
617-951-0600
June 20, 2018
Building Commissioner or Inspector of Buildings
Fire Department or Arson Squad
Board of Health or Board of Selectman
City Hall
NORTH ANDOVER, MA 01845
Insured: RUTH M OSGOOD
Property Address: 164 JOHNSON STREET, NORTH ANDOVER MA
Policy Number: HMAD327211
Claim Number: BOS00085544
Date of Loss: 6/18/2018
Notice of Loss Under M.G.L. c. 139 3B
This communication shall serve as written notice pursuant to M.G.L. c. 139, § 3B that[Safety
Insurance Company] ("Safety") has received a claim involving loss, damage or destruction to a
building or other structure at the above-referenced address which may either: (1) meet or exceed
$1,000; or (2) cause the condition or the building or other structure to render M.G.L. c. 143, § 6
applicable.
In accordance with M.G.L. c. 139, § 3B, if the city or town intends to initiate.proceedings designed
to perfect a lien under Section 3B, M.G.L. c. 143,.§ 9 or M,G.L. c. 111, § 1.27B, please notify
Safety of the same by certified mail. Kindly forward such notice to my attention, at the address
indicated above, and include with such notice a reference to the above-described insured, property
address, policy number and claim number.
If you have any questions regarding this notice, please feel free to contact me directly at
617-951-0600 EXT 5194.
Sincerely,
Jessica Tuccelli
Claim Examiner