HomeMy WebLinkAboutInsurance Notice of Claim - Correspondence - 166-168 HIGH STREET 9/19/2018 Form of' Not"Ice of Casualty
Under MASS. GEN. LAWS, Ch. 139, Sec.
3113
To: Building Department
1120 MainStrelet
North Andover, MA 018145
Insured: Molly Mushaty
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r p rt °Address. %, reet,
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Company: Merrimack Mutual Dire Insurance Company
Policy/Claim Number: FP55,27973, FP5527973
Date/Cause of Loss: i , F rnace M l u' c i
Our File Number, 363 5
Claim has been made involving loss, damage or destruction of the above captioned property,
which may either exceed $11 ,0,00.,00 or cause MASSAC TT'S GENERAL LAWS, CHAPTER
3, 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 c to the, captioned insured,, locatiion, policy number, date of Ions and claim r
file number.
Wade Anderson, Ext. 112
n this date, 1 caused copies of thisi , be seat to the ,persons named above at the
addresses indicated above by first Class bail.
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iban Date
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AN ERSON ADJUST'IVIE T CO., INC.
50 Nashua Road, Sine 30
PO Box 09
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C c North Andover Health Depa,rtment NorthAndover fire Department
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120 Main Street 795 ChIckering Road
A 0 1845, NorthAndover, IVIA 01845