HomeMy WebLinkAboutInsurance Notice of Claim - Correspondence - 790 DALE STREET 4/19/2019 .7777.
Form-of Notice of Casualty Lass o Building
Under MASS, GEN. LAWS, C . 139, Sec. 3
T : gilding Department
120 Main Street
North Andover, MA 01845
RE: -Insured: Carl 1ligharrdt & Penelope Gawnkurs
Property Address: 790 Dale Street
Company: Bay State Insurance Company
Policy/C."."Oiaim Number: HP3049692, HP 0 9 92
Date/Cause of Loss: 19 20'19, Chimney Damage
Our File Number: 8 0 8-M
Claim has been made involving loss, damage Or destruction of the above captioned property,
which may either exceed $1 r cause MASSACHUSETTS GENERAL LAWS, CHAPTER
143, SECTION 6, t0 be applicable. If any notice under MASSACH SETTS 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, Ext. 11
n this dater I caused copies Of this Notice to b" he persons named above at the
addresses indicated above by First Class IIM jl,"-
Signature and Date
NDERSON ADJUSTMENT CO., INC.
0 Nashua Road, Suite 303
PO Banc 18
Londonderry, NH 03053
C : North Andover Health Department
20 Main Street
North Andover, MA 01845
North Andover Fire Department
795 C h i cke ri ng Road
North Andover, MA 01845