HomeMy WebLinkAboutInsurance Notice of Claim - Correspondence - 9/13/2018 Form of Notice of Casualty Loss to Building
Under MASS, GEN, LAWS, Ch. 139, Sec. 3,B
To: Building Commissioner or
Inspector of Buildings
120 Main Street
North Andover, MA 01845
RE, Insured: Pleasant Estate Condominium Association c/o
Carlos Brazdaluz
Property Address 133 Pleasant Street
Company: Vermont Mutual In,suranc,e Company
Poficy/Claim Number-, BP1 10290821 B0003685
Date/Cause of Loss,-.
9/13/2018, Boiler F"
ilre
Oulr File Number,- 363103-W
Claim has, been made involving loss, damage or destruction of the above captloreed property,
which may either exceed $1,000.00 or cause MASSACHUSETTS GENERAL LAWS, CHAPTER
1143, SECTION 6, to be applicable. If any notice under MASSACHUSETTS GENERAL LAWS,,
CHAPTER 139, SECTION 3B is, appropriate, please direct it to the attention of the writer and
include, a reference, to the captioned insured, loication, pollicy n uumber, date of loss and claim or
file number.,
Wade Anderson, Ext. 112
On this date, I caused copies of this Notice!to be sent to the persons named above at the
addresses, indicated above by First Class Maid,
Si`�9'nature and Date
ANDERSON ADJUSTIVIENT CO,,,, INC.
50 Nashua Road,, Sulte 3,03
P0 Box, 1098
Londonderry, NH 03053
'Cc: Health Department Uorth Andover Fire Department
120 Malin Street, 795 Chickering Road
North ndovier, MA 0 1845 North Andover, MA 01845