HomeMy WebLinkAboutInsurance Notice of Claim - Correspondence - 145 BRIDLE PATH 6/26/2019 P;-ar"�00�o Safety In
E.o. Box 55098
Boston MA oo
17-951-9 99
June 26, 2019
Building Commissioner or Inspector of Buildings
Eire Department or Arson Squad
Board of Health or Board of Selectman
City Hall
I.AI DOVEf , MA 01
insured: FETED R WATERMAN and MEGHAN E CHAMPA I E
Property Address: 145 BRIDLE PATH, I .ANDOVER MA
Policy Humber: HIIA041
Claim Number: BOS00091904
Date of Loss: 1 3/ 019
Notice of Loss Under M.G.L. c. 139 §3B.
This communication shall serge as written notice pursuant to M.G.L. c. 139, § 3B that [Safety
Insurance company] "Safety" has received a claim involving loss, damage or destruction to a
building or other structure at the above-referenced address which may either: 1 meet or exceed
$1,000; or 2 cause the condition or the building or other structure to render M.G.L. c. 143,
applicable.
In accordance with I.G.L. c. 139, § 3B, if the city or town intends to initiate proceedings designed
to perfect a lien under Section 3B, M.G.L. c. 143, § 9 or M.G.L..L. c. 111, § 127B, please notify
Safety of the sane by certified mail. Kindly forward such notice to my 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
1 -91-coo ET 31.
Sincerely,
Jeff Edwards
Claim Examiner
Phone: .978-6,32-2660 Fia. 978-6.32-2662
JAM"WEdS A. TRUDEA"U
Adjustment ServIce Inc.
.P. 0.Box 7
Gardner,MA 01440
hdki
Notice of Casu.AlLty Loss of, Buddin
'Under Massachusetts General Laws, Chapter 1,39, Section 3B
Jurte 27,1201.9,
ufl ing fnspector
t,o 120 Main Street
North Andover, MA 0 1845
Board of Healt.11
120 Mir i Street
North Andover, MA 0 1,845
Fire Department
Dept., of Records,
795 Chickerhig Road
North Andover, MA 0 1845
Insured-. Kelley Realty Trust,
Loss Location.,, 41-43 Thorndlike Street,North Andover,MA 01845
Insurance Company--,,' Preferred Mutual,Insurance Co.
Poli"cy No..: PDF0100524,828
Date of Loiss,: June 26,21019
Ffle Numberl: 191-17635
Clal"m Number,,-. 19,114225
Type of Loss-. Fire
Claim h,-as beeii iiia,de involviiig loss,, dal-nage, or destructiior1 oftlit above captioned property, whIch may either
exceed $1,000.00 or cause"Mass. Gen. Laws hap ter 143, Saction 6"'to be applicable. if any notice err erg`Uqss.
Glen. Laws, Chapter 1319, Section M" is appropriate, please, direct it to, the writer and iflClUde a reference to t1w
captned io i nsLired, locatio�ti,, policy nUMber, date of loss,and file or cla�im 11LIniber,,
Claim has been, made involving loss, damage or destruction. of the above-captlioned property, which may
exceed $50,00. If any notice under Massachusetts General. Lawskll 9
apter 175,,, Section 97A, iis appropriate,
please direct it to 'the aftentlion. of this wrifter and include a r�eference to the above-captlioned linsured,
location,,policy number,date of loss anid claim number.
On this date'. 1. cause copies of this notice to, be sent to the persoii.(s) named above at the address I indicated, by first
class earl.
Sincerely,
Joshua M. TrLidieaLl
Claims Adjuster