HomeMy WebLinkAboutInsurance Notice of Claim - Correspondence - 755 JOHNSON STREET 3/8/2018 InsuAdMIkk
rance
AUTO °HOME ° BUSINESS
P.D. Box 55O98
Boston N1/\O22O5
617-951-0600
March O9. 2D1B
Building Commissioner or Inspector of Buildings
Fire Department 0r Arson Squad
Board mf Health or Board ofSelectman
City Hall
NORTH ANDOVER' MAO1B45
Insured: PAULL/\K8W1
Property Address: 755JOHNSON STREET, NORTH ANDOVERK0A
Policy Number: HK8A0011081
Claim Number: B{}G00082831
Date ofLoss: 3V8/2018
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 0[ other structure to renderK8.{9.L G. 143. § 6
applicable.
|n accordance with K8.G.Lc. 18S. 8B if the city nr town intends tn initiate proceedings designed
to perfect a lien under Section DB. Ni.G.Lc. 143. § 8orM.G.Lc. 111. § 127B. please notify
Safety of the same bv certified mail. Kindly forward such notice toDly attention, ot the address
indicated above, and include with such notice a reference to the above-described insured, property
addnaoa, policy number and claim number.
if you have any questions regarding this notice, please feel free to contact me directly at
017'951-0600EXF3293.
Sincerely,
Kirill ShUbiO
C|eirn Examiner