HomeMy WebLinkAboutInsurance Notice of Claim - Correspondence - 14 SALTONSTALL ROAD 9/13/2018 Form of Notice of Casualty Loss to Building
Under MASS. GEN, LAWS, Ch, 139, Sec. 3B
To: Building Commissioner or
Inspector of Bulildings
120, Main Street
North Andover, MA 01845
RE: Insured: James & Susan Dowd
Property Address:; 14,Saltonstall Road
Gompanily: Bay State Insurance Company
Policy/Claim Number: HP3064701, HP306417101
Date/Cause of Loss: 9/13,120118, Gas/No, Heat or Holt.Water
Our File Number: 31 ,6348-W'
Claim has been made involving loss, damage or destruct'ion of the above captioned property,
which may either exceed $1 000.00 or causel MASSACHUSETTS GENERAL LAWS, CHAPTER
143, SECTIONI 6, to be applicable. Ifany notice under MASS ACHUSETTS 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, location, policy number, date of loss and claim or
file number.
Wade Anderson,, Ext. 112
Ong thiis, date I caused copies of'this Notice to be! sent to the persons named above at the
addresses 'indicated above, by First Class Mail#
P,
Signature and' Date
ANDERSON ADJUSTMENT
5,0 Nashua Road, Suite 303
PO �Box 10918
Londonderry, N'H 03,053,
Cc:i Helalt' apartment North Andover Fire Department
120, Main Street 795 Chickering Road
North Andover, MA 01845 North Andover, MA 01845