HomeMy WebLinkAboutInsurance Corespondence - - 7 LIBERTY STREET 10/15/2019 Form f Notice iof Casualty Loss ito Buildling
Under MASS. GEN. LAWS, Ch. 139, Sec. 31B
Told., Building Department
1,20 Main Street
�North,A�ndover, MA Oil 845,
RE: ins ured: Zacharile & Nena St. are,
Property Address: Liberty Street
Company: Merrimack Mutual Fire Insurance Company
Policy/iClairn Number:. H�P3140728, HP3140728,
Date/Cause, of Loss-. 10/4/2,019, Water/Toilet Leak
Our File Number." 374,418-iR
Claim has been made involving loss, damage or destruction of the above, captioned property,
which may either exceed $1,000.,00 or cause, MASiSACHUSE'TTS GENERAL LAWS, CHAPTER
143, SECTION, 6, to be applicable. if tiny notice under, MASSACHIUSETTS GENERAL LAWS,
CHAPTER 139, SECTION 3B is appropriate, please direct it to the attention of the writer and
include a ref erie�nce to the captioned insured, location, policy number, date of loss and claim or
file numberi
Ryan Werner, Ext 116
On this date, I caused copies of this Notice to be sent to the persons named above at the,
addreissies indicated above by First Class Mail.
1xi
Sig*, rel, nd Date
ANDERSON ADJ, STIVIENT' Cli INC.
50 Nashua Road, Suite 303
PO Box 1098
Londonderry, NH 013053
Cc.t North Andover Health Department,
120 Main Street
North Andover, MA 01845
North Andover Fire Department
795 Chick,ering Road
North Andover, MA 01845