HomeMy WebLinkAbout- Miscellaneous - 115 MAIN STREET 5/23/2019 Fax.- 978-632-2662
Phone.- 978-632-2660
A , 'TRUDEAU
Adjustment Service Inc.
P. 0. Box,7
Gard.iter,MA 01,440
clairus,
Noticeof Casmlt Y Loss of Bu.11din
Under Massachusetts General Laws, Chapter 139, Secti'lon 3B
May 20, 201,9
V1�luildin I I g hispector
120 Mathi Street
North Andover, MA 0,1 845
Board of Health
120 Main Street
Noilb, Ai�idover, MA 0 1845
Fire Depat trnent
Dept. of Records
ad vga 01" 0
795 Chickering Road
.NorthAtidr MA 0 145 0
Insured: Chama Grill dba
Loss Location: 115 Main Street,North Andover,MA 01845
Insurance Company: Uti'ca,F1'rst Insurance Co.
Policy No.: BOP445�324601
Date of Loss. May 19,2019
File Nunibet 19-175,78
Claim Number: 568030
Type of Loss: Water Damage
Claim has been made involving loss, damage, or destruction offlie above captioned property,, which, may either
exceed, ;1 0100.00 or ca u se"Mass. Gen. Laws Chapter 143, Sectio n 6"to be applicable. Ifany notice under,"'Mass.
$L�L-0'
Gen. 1,a)L�C�Ivqger 139, Section 3B" is apptopriate, please direct it to tw writer and h1elUde a reference to, the
captioned insured, location, policy,nut n.ber, date of loss, and file oi.cl.airn iiurn.ber.
Claim has been made involving loss, Arms or dies tri"Iction of the above-leaptioned pt"operty, which may
exceed $5000., If any notice under Massachusetts General Laws2..Ch Ater 1.75,.Section, 97A is approprliate,,
please direct it to the attentiou of this writer and include a reference to the above-captioned. insured,
location, policy numberl(late of loss and claim uUmber'.
On this date I cau his notice to be sent to the person(s) nanied above at the add,ress indicated by first
class ma.,11.
&Incerely,
Joshua M, TrUdeau
Clain.is Adjuster
