HomeMy WebLinkAboutInsurance Notice of Claim - Correspondence - 4 TAVERN ROAD 7/26/2018 Orrn of Notice of Casualty Loss t0 Building
Um MASS. GEN. LAWS, C h. 139, Sec. 3
To: Building Commissir or
Inspector of Buildir.
120 Main Street
North Andover, MA 845
RE: Insured: John McCabe
Property dress: 4 Tavern Road
Company: Merrimack Mutual Fire Insurance Company
Policy/Claim Number: HP2536924, HP2536924
Date/Cause of Loss: 7/26/2018, Water/Plumbing
Our File Number: 36133-M
Claim has been made involving loss, damage or destruction of the above captioned property,
which may either exceed $1,000.00 or cause MASSACHUSETTS GENERAL LAWS, CHAPTER
143, SECTION 6, to be applicable. If any notice under MASSACHUSETTS GENERAL LAWS,
CHAPTER 139, SECTION 313 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.
Mike Peterson, Ext. 115
On this date, I caused copies of this Notice to be sent to the persons named above at the
addresses indicated above by First Class Mail.
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Signature and Date
ANDERSON ADJUSTMENT CO., INC.
50 Nashua Road, Suite 303
PO Box 1098
Londonderry, NH 03053
i
Cc: Health Department North Andover Fire Department
120 Main Street 795 Chickering Road
North Andover, MA 01845 North Andover, MA 01845
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