HomeMy WebLinkAboutInsurance Notice of Claim - Correspondence - 282 WAVERLY ROAD 9/13/2018 Form of Notice of Casualty Loss to Build'ing
Under MASS. E.. . LAWS,, Ch. 13 9, Sec. 3B
To-1 Building Commissioner or
Inspector of Buildings
120 Main Street
North Andover, MA 01845
RE: Insured-, Gina Boston
Property Address: 282 Waverley Road
Company: Merrimack Mutual Fire Insurance Company
Policy/Cla,im Number: HP3136164, HP3136,1614
Date/Cause of Loss: 9/'13/2,018, Gas Explosion/Evacuati,on
Our File Number. 363218-W
Claim has been made involving loss,, damage or destruictioln of the above captioned property,
which may either exceed $1,000.00 or cause MASS ACH USE TTS GENERAL LAWS, CHAPTER
1413, SECTION 6, to be applicable. If any notice under MASSACIS USETTS GENERAL LAWS,
CHAPTER 139, SECTION 313 is appropriate, please direct, it to the attlention of the writer and
include a reference to the captioned insured, location, policy number, date of loss and claim or
file number.
Wade Anderson, E,xt. 112
On, this date, I caused copies, of this Notice to be sent to the persons named above t the
addresses Indicated above by First, Class Mail.
Signature and Date
ANDERSON ADJUSTMENT CO, ING.
60 Nashua Road, Suite 303,
PO Box, 10918
Londonderry, NH 1030(53
Cc: Health Department North Andover Fire Department
120 Main Street, 795 Chickering Road
North Andover', IVIA 01845 North Andover, MA. 018145