HomeMy WebLinkAboutInsurance Notice of Claim - Correspondence - 5 CLARENDON STREET 6/12/2019 Safety
AUTO HOME BUSINESS
P.O. Box 5509
Boston MA 02205
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June 12, 2019
Building Commissioner or Inspector of Buildings
Fire Department or Arson Squad
Board of Health or Board of Selectman
City Hall
ANDOVER, MA 01845
Insured: YVONNE M GEORGE
Property Address: 5 CLA END N ST, N AND ER MA
Policy Number: HMA0246895
Claim Number: BOS00091737
Date of Loss: 11 2019
Noti ce of Loss Under M.G.L. c. 13 9 3B
This communication shall serve as written notice pursuant to M.G.L. c. 139, 3B that [Safety
Insurance Company] "Safety" has received a claim involving less, damage or destruction to a
building or ether structure at the above-referenced address which may either: 1 meet or exceed
1, 99; or 2 cause the condition or the building or other structure to render M.G.L. e. 143,
applicable.
In accordance with M.G.L. c. 139, B# if the city or town intends to initiate proceedings designed
to perfect a Iien under Section 3B M.G.L. e. 143, § 9 or M.G.L. c. 111, § 127 B, please notify
Safety of the same by certified mail. Kindly foRvard such notice to ray attention, at the address
indicated above, and include with such notice a reference to the above-described insured, property
address, policy number and claim number.
If you have any questions regarding this notice, please feel free to contact me directly at t
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617-951-0600 EXT 3461. t
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Sincerely,
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Jeff Edwards #
Claim Examiner }