HomeMy WebLinkAboutInsurance Notice of Claim - Correspondence - 8/23/2019 Safety Insurance
Ur •HOME •SUSINESS
P.O. Box 55098
Boston MA oo
1 -9 1- 600
August 23, 2019
Building Commissioner or Inspector of Buildings
Fire Department or Arson Squad
Board of Health or Board of Selectman
City Hall
NORTH TH ANDOVER, MA 01845
Insured: DA lIELA MO AI I and ALEXANDRU MORARI
Property Address: 10 EELAN AVE UNIT 9, NORTH ANDOVER MA
Policy Number: HMA05053 0
Claim Dumber: B S00092922
Date of Loss: /19 20 9
Notice of Loss Under M.G.L. c. 139A 3
This communication shall serge as written notice pursuant to M.G.L. c. 139, § 313 that [safety
Insurance Company] "Safety" has received a cairn involving loss, damage or destruction to a
building or other structure at the above-referenced address which may either: 1 meet or exceed
$1,000; or 2 cause the condition or the building or other structure to render M.G.L. c. 143, § 6
applicable.
In accordance with M.G.L. c. 139, § 313, if the city or town intends to initiate proceedings designed
to perfect a lien under Section 3B, M.G.L. c. 143, § 9 or M.G.L. c. 111, § 127B, please notify
Safety of the same by certified mail. Kindly forward such notice to my attention, at the address
indicated above, and include with such notice a reference to the above-described insured, property
address, policy number and claim number.
If you have any questions regarding this notice, please feel free to contact me directly at
17-9 1-0600 E T 2010.
Sincerely,
Robert ert Krupa
Clain Examiner