HomeMy WebLinkAboutInsurance Notice of Claim - Correspondence - 30 EAST WATER STREET 4/17/2019 Form of Notice of Casualty Loss to Building
Under MASS. GEN. LAWS, Ch. 139, Sec. 3B
To. Building Commissioner or
Inspector of Buildings
120 Main Street
North Andover, MA 01845
RE: Insured: Dean & Dona Thornhill
Property Address: 28-30 E Water Street
Company: Bay State insurance Company
Policy/Claim Number: HP0806429, HP0806429
Date/Cause of Loss; 4/17/2019, Rot Damage
Our File Number: 37 - II
Claim has been made involving loss, damage or destruction of the above captioned property,
which may either exceed 1 000.00 or cause MASSACHUSETTS GENERAL LAWS, CHAPTER
143, SECTION 6, to be applicable. If any notice under MASSACH SETTS 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, dame of loss and claim or
file number.
Wade Anderson, Ext. 112
n this date, I caused copies of this Notice to be sent to the persons named above at the
addresses indicated above by First Class Mail. F
ignature and Date
ANDERSON ADJUSTMENT Co., INC.
50 Nashua Roach, suite 303
Ro Box 108
Londonderry, NH 03053
Cc: Health Department North Andover Fire Department
ent
120 Main Street 795 Chickering Road
North Andover, MA 01845 North Andover, MA 01845