HomeMy WebLinkAboutInsurance Notice of Claim - Correspondence - 52 ELMCREST ROAD 9/13/2018 Form of Notice of Casualty Loss to Building
U�nder MASS. GEN. LAWS, Ch., 139, Sec, 3B
To: Building Commissioner or
Inspector of Buildings
120 Main Street
North Andover, MA 01845
REm Insured,',-, Maureen Briere
Property Address: 52EIrricres'it Road,
Company: Providence Mutual Fire Insurance Company
Policy/Claim dumber: HP023311041 18-5701JS
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Date/Cause of Loss: /t 01146 L,
Our File Number: 36,361-W
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 3 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.
Wade Anderson, Ext. 112,
On this, date, I caused coplien 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 030513
Cc-4 Health Department North Andover Fire Department
120 Main Street 7915 Chi ering Road,
North Andover. MA 01845 North Andover, MA 01845