HomeMy WebLinkAboutInsurance Notice of Claim - Correspondence - 9/13/2018 Form of Notice ofCaIBuilding
Under MASS. GEN.
, 139, Sec, 3B
To.- Building Department
120 Min Street
North Andover MA 01845
REk Insured- George Schruender dba 855 Realty Trust
Property Address
Company: Merrimack Mutual Fire Insurance Company
Policy/Claim Number. SBP19718565, SBP1978565
Da
tie/Cause C se Loser 3 2 8'�, as� � lu � r� r����� ire
rFile Number: 36356- "
Claim has been made involving loss, damage or destruction of the above captioned property,
which may either exceed $ 0,00.00 or cause M SS Ci i S TTS GENERAL LAWS,, CHAPTER
3, SECTION 6, to, be applicable. If any notice un r MASSACHUSETTS GENERAL LAWS,
CHAPTER, 139, SECTION 3B is appropriate, please direct it the attention of 'the, writer an
include, a reference to the captioned insured, location, policy nu�mber, date loss and claim or
fife number.
Wade Anderson, Ext., 112
On this date, l cauised copies of this I tice to be sent to the persons named above at the,
addresses indicated above by first Class Mail.
Signature and Date
ANDERSON ADJUSTMENT ., I
Suite50 Nashua Road,
PO Box 1098
Londonderry, NH ,.
i-i North Andover Health Department North Andover Fire Department
1 Main Street 795 Chickering Road
North Anlover, MA 01845 North Andover,, MA 01 845