HomeMy WebLinkAboutInsurance Notice of Claim - Correspondence - 23 COCHICHEWICK DRIVE 8/29/2019 75 Sam Fonzo Drive I Beverly,Massachusetts 01915
Claims Department
ent
August 29, 2019
Building Commissioner or
Inspector of Buildings
20 Main Street
North Andover, MA 01
R : Insured: David Anderson
Claim Number: 291 922
Policy Number: 6426420H1
Date of Loss: August 21, 2019
Property Address: 23 C cHicHEW ICK DR UNIT 23 NORTH ANDOVER, MA 01
Form of Notice of Casualty Loss to Building
Under Massachusetts General Laws Chapter 139, sec. 3B
Claim has been made involving loss, damage or destruction to the above-captioned property, which may
equal or exceed $1,000 or cause Massachusetts General Lars, Chapter 143, Section 6 to be applicable.
If any notice under Massachusetts General Lavers, Chapter 139, Section 3B is appropriate, please direct to
the attention of the undersigned and include a reference to the captioned insured, location, policy
number, date of loss and claim or file number.
n August 29, 2019 copies of this notice were sent by first class mail to-the entities and ad dresses noted
herei n.
Sincerely,
4W4*
Adelfa Pereira
Claims Specialist