HomeMy WebLinkAboutInsurance Notice of Claim - Correspondence - 160 WATER STREET 6/6/2019 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Place
Boston, Massachusefts 210 -1 4
( 1 )723-3800 lea OnIv( 0 )3 2- 1 , FAX( ) 1- 424
6/6/2019
Form of Notice of Casualty Loss to Building
Under Mass, Gen, Laws Ch.13 Sec.3B
NORTH AND OVER HEALTH DEPT.
NORTH AND V R TOWN FALL
NORTH AND OVER MA 01845
e: Insured: RAYMO D AND S SAN T RRISi
Property Address: 1 -1 2 WATER STREET, NORTH AND VER, MA 01845
Policy Number: 1345071
Type Loss: Water Damage: Plumbing Systems
Date of toss: 06/04/2 1
Claim Number: 438751
Claim has been rude involving loss, damage or destruction of the above captioned property,which may either
exceed$1000.00 or cause Massachusetts General Laws Chapter 1,43,section 6 to be applicable. if any
notice under Massachusetts General laws Cha ter 13 Section 3B is appropriate, please direct it to the
attention of the writer and include a reference to the captioned insured, location, policy number,date of less
and claim or file number,
MIA Claims Division
1A021