HomeMy WebLinkAboutInsurance Notice of Claim - Correspondence - 130 MIDDLESEX STREET 6/12/2018 Phone: 978-632-2660 Fox: 978-632-2662
JAMES A. TRUDEAU
Adjustment Service Inc.
P. 0.Box 7
Gardner,MA 01440
laa�dars ;t¢°Udc aaarcadj&o$p
Notice of Casualty Loss of 11Hilding
Under Massachusetts General Laws, Chapter 1.39, Section 3B
June 12,2018.
uilding Inspector
120 Main. Street
North Andover,MA 01845
Board of Health
1.20 Main Street
North Andover, MA 01845
Fire Department
Dept. of Records
124 Main Street
North Andover, MA 01845
Insured: Dawn Casale
Loss Location: 130 Middlesex Street,North Andover,MA 01845
Insurance Company: Preferred Mutual Insurance Co,
Policy No.: PHOO100882270
Date of Loss: June 2,2018
File Number: 18-16631
Claim Number: 18113820
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. Laws, Chapter 143, Section 6"to be applicable. If any notice under"Mass.
Gen. Laws Cha.Rter_139, Section 313" 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, Chanter 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,
Robert P. Blais
Claims Adjuster