HomeMy WebLinkAboutInsurance Corespondence - - 101 MILLPOND 10/15/2019 Form, of Notice of Casualty Loss to Building
Under MASS, GEN, LAWS, ih. 13%, Sec., 3B
To: Building Department
120 Main, Street
North Andover, MA 01845
RE: Insured" Bronle relik
Property Address: 101 Millpond Road
,Company''-.' Merrimack Mutual Fire Insurance Company
Policy/Claim Number, HP20951707, HP2095707
Date/Cause of Loss: 10/1/2019, Wtiter NVas air g, Machine Leak
OuR r File Number: 37454-
Claim has been made involving loss, damage or destruction of the above captioned property,,
which may either exceed $1 000.00 or cause MASSACHUSETTS GENERAL LAWS, CHAPTER
143, SECTION 6,, to, be applicable. If any notice under MASSACHUSETT'S GENERAL LAWS,
CHAPTER 1391 SECTION is, appropriate, please direct 'it, to the attention of the writer and
include a reference to the captioned i I nsuredl location, policy number, date of loss and claim, or
file number.,
Ryan Werner, Ext. 116
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 Mail.
signa(ur " and Date
ANDERSON ADJUSTMENT CO-1 INC.
50 Nashua Road, Su'lite, 303
PO Box 110198
Londonderry, NH 03,053
Cc: North Andover Health Department
120 Main re et
North Andover, MA 01,845
North Andover Fire Department
1795, Chic,kerling Road
North Andover, MA 01 8145