HomeMy WebLinkAboutInsurance Notice of Claim - Correspondence - 76 MARTIN AVENUE 6/20/2018 Phone. 978-632-2660 Fax: 978-632-2662
JAMES A. TRUDâșLAU
Adjustment Service Inc.
P.0.Box 7
Gardner,MA 01440
Khol
Notice of Casualty Loss of Building
Under Massachusetts General Laws, Chapter 339, Section 3B
June 20,2018
L,-' Building Inspector
120 Main Street
North Andover, MA 01845
Board of Health
120 Main Street
North Andover, MA 01845
Fire Department
Dept. of Records
124 Main Street
North Andover, MA 01845
Insured: Scott&Deborah MacArthur
Loss Location: 76 Martin Aven tie,North Andover,MA 01845
Insurance Company: Preferred Mutual Insurance Co.
Policy No.: PIIOOI00685741
Date of Loss: June 20,2018
File Number: 18-1.6651
Claim Number: 18114808
Type of Loss: Water Damage
Claim has been made involving loss, damage, or destruction of the above captioned property, which may either
exceed $1,000.00 or cause"Mass. Gen. haws, Chapter 143, Section 6"to be applicable. If any notice under"Mass.
Gen. Laws, Chapter 139, Section 38" is appropriate, please direct it to the writer and include a reference to the
captioned insured, location, policy number, date of loss,and file or claim number.
Claim has been made involving loss, damage or destruction of the above-captioned property, which may
exceed $5000. If any notice under Massachusetts General Laws, Chapter 175, Section 97A is appropriate,
please direct it to the attention of this writer and include a reference to the above-captioned insured,
location,policy number,date of loss and claim number.
On this date, I cause copies of this notice to be sent to the person(s) named above at the address indicated by first
class mail.
Sincerely,
David J. Valley
Claims Adjuster