HomeMy WebLinkAboutInsurance Notice of Claim - Correspondence - 24 BALDWIN STREET 6/17/2019 Form of Notice of Casualty Loss to Building
Under MASS. GEN. LAWS, Ch. 139, sec. 3B
To: Building Department
20 Main Street
North Andover, MA 01845
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RE: Insured: Laurie & Kurl: Bur laff
Property Address: 24 Baldwin Street
Company: Commerce Insurance Company
Policy/Claim Number: BHLY Z, RRXA64
Date/Cause of Loss: 2019, Water/lcer aker Leak
Our File Number: 829-M
Claim has been made involving loss, damage or destruction of the above captioned property,
which may either exceed $1,000.00 or cause MASSACHUSETTS GENERA. LAWS, CHAPTER
148, SECTION 8, to be applicable. 1f any notice under 11 ASSACH SETTS GENERAL LAWS
CHAPTER 189, 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 date, 1 caused copies of this Notice to be sent-6--the p rsons named above at the
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addresses indicated above by First Class Mail. { F
Signature and Date
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ANDERSON ADJUSTMENT co., INC.
50 Nashua Road, suite 303
Po Box 1098
Londonderry, NH 03053
Cc: North Andover Health Department
120 Main street }
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North Andover, MA 01845
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North Andover Fire Department
795 Chickring Road
North Andover, MA 01845