HomeMy WebLinkAboutInsurance Notice of Claim - Correspondence - 19 MARBLEHEAD STREET 5/21/2019 Form of Notice of Casualty Loss to Building
Under MASS. GEN, LAWS, Ch. 139, Sec. 313
T : Building Department
120 Main Street
North Andover, MA 01845
E: Insured: Surendra & I eeta M kerjee
Property Address: 19 Marblehead Street
Company: Merrimack Mutual Fire Insurance Company
Policy/Claim Number: HP0667928, HP0667928
Date/Cause of Loss: 121 2 1 , Windstorm/Tree Damage
Our File Number: 88-D
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 foss and claim or
file number.
Daniel Paul, Ext. 117
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.
Signature and Date
ANDERSON ADJUSTMENT CO., INC.
0 Nashua Roach, Suite 303
PO Box 1098
Londonderry, NH 03053
C : North Andover Health Department
120 Main Street
North Andover, MA 01845
North Andover Fire Department
795 Chi keying Road
North Andover, IAA 01845