HomeMy WebLinkAboutInsurance Notice of Claim - Decision - 274 CHESTNUT STREET 4/29/2019 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
for h Andover, MA o 1845
RE: Insured: Salvatore Logiudioe &Alfreda Eng
Property Address: 250 Chestnut Street
Company: Merrimack Mutual Eire Insurance Company
Policy/Claim Number: HP2088859, HP2088859
Date/Cause of Loss: 29 201 gr Cabinets Fell from Wall
Our File Number- o -III
Claim has been made involving loss, damage or destruction of the above captioned property:
which may either exceed $1,000.00 or cause MASSACH SETTS GENERAL LAWS, CHAPTER
143, 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 to the captioned insured, location, policy number, date of loss and claim or
file number.
Mike Peterson, Et. 11
On this date, I caused copies of this Notice to be seat to the persons named above at the
addresses indicated above by First Class Mail. ....................._..._. .....N. .
..
Signature and Date
ANDERSON ADJUSTMENT CO., INC.
o Nashua Road, suite 303
Ro Box 1098
Londonderry, NH 03053
cc: Health Department North Andover Fire Department
120 Main street 795 Chic Bring Road
North Andover, MA 01845North Andover, MA 01845