HomeMy WebLinkAboutInsurance Notice of Claim - Correspondence - 3 HERRICK ROAD 9/13/2018 Form of Notice of Casualty Loss t i lding
Under MASS. GEN. LAWS, Ch. 139, Sec. 3B
To.- Building Commissioner or
Inspector of Buildings
120 Main Street
North Andover MA Oil 845
RE: Insured-, Louise Busineau
Property Address.& erriok:Road
.......... ;H
Bay State Insurance Company
Company.
Policy/Cla.1m Number HP1 1020,79, HP1 102079
Date/Cause of Loss. 9/1,3/20,18, Furnace Damage
Our File Number: 36301-W
Claim has been made involving loss, damage or destruction ofthe above captioned property,
which may either exceed $1 ,000.00 or cause, MASAC HUSETTS GENERAL LAWS, CHAPTER
143, SECTION 6, to, be applicable., If any notice under MASSACHUSETTS GENERAL, LAWS,,
CHAPTER 139
, SECTION 3B 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 uumber.
Wade Anderson, Ext. 112
On this date,, I caused copies of this Notice to be sent to the persons, named above at the
addresses indlicalted above by First Class Mail.
J 2
ignature and Date
ANDERSON ADJUSTMENTCO, ING.
50, Nashua, Road, Suite 303
PO Box 1098
Londonderry,, NH 03053
CC- Health Department North Andover Fire Department
12,0 Main Street 7951 Chickering Road
North Andover,, MA 0 1845 North Andover, MA 0 1845