HomeMy WebLinkAboutInsurance Notice of Claim - Correspondence - 174 WEYLAND CIRCLE 3/8/2018 r PROVIDING
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March 9, 2018
Town of North Andover
Building commissioner
120 Main St.
North Andover, MA 01845-2493
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FORM OF NOTICE OF CASUALTY LOSS TO BUILDING
UNDER MASS. GENERAL LAWS, CH. 139, SEC. 3B
INSURANCE COMPANY: Vermont Mutual
COMPANY INSURED: Nai Jing Luo
PROPERTY ADDRESS: 174 Weyland Cir, North Andover, MA 01845
POLICY NUMBER: DF13082611
DATE OF LOSS: March 8, 2018
CAUSE OF LOSS: Falling object
CLAIM NUMBER: D0000916
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, Ch. 139, Sec. 3B is appropriate, please direct
it to the attention of the undersigned and include a reference to the above-captioned insured,
location, policy number, date of loss, and claim number.
If no reply is received from your office within ten days, we will assume that you have no lien of
any type against this property, and we will proceed to pay this claim in full.
Insurance Claims Services
Tel 877-302-0203 9 Fax 877-245-4987
PO Box 479 •Waitsfield,VT OS673-0479
www,DitieleyClair-ns ervlces,coni