HomeMy WebLinkAboutInsurance Notice of Claim - Correspondence - 234 MIDDLESEX STREET 9/13/2018 Form of Notice of Casualty Loss to Building
Under MASS. GEN. LAWS, Ch. 139, Sec. 3B,
To: Building Department
120 Mir Street
North Andover, MA 01845
RE: Insured: F E B Realty Trust LL+
Pr erty ���� 23 -236 Middlesex ,street
Company: 'Vermont Mutual Insurance Company
Policy/Claim Dumber: BP210511110, B000378,91
D;#e/Cause of Loss: 91 32 1 , Gas Explosion
Our File Number-, 36392-
Claim has been made involving loss, damage or destruction of the above captioned pro rt
which may either exceed $1 �000.00 or cause M SSACHUS TTS GENERAL LAWS, CHAPTER
143, SECT'ION 6, to be applicable, If any notice under M SS CHUSETTS 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,, pollicy number, date of loss and claim r
file number.
On this date, I caused copies of this Notice to be sent to the persons named above at the
addresses indicated' above Fire Class Mail.
f
tignature and Date
t
1
ANDERSON ADJUSTMENT
CO., I
50 Nashua , Suilte 303
PO Box 1098
Cc: North Andover Health Department North Andover Fire Department,
120 Main Street 795 Chickering Road
North Andover,, MA01845 North Andover, MA 011 845,