HomeMy WebLinkAboutInsurance Correspondence - Correspondence - 12 GARDEN STREET 10/17/2019 Form of Notice of Casualty Loss to Building
Under MASS. GEN, LAWS, Ch. 39, sec. 3B
To: Building Department
120 Main Street
Forth Andover, MA 01845
RE: Insured: Charles & Pamela Cigna
Property Address: 12 Garden Street
Company: Merrimack k Mutual Fire Insurance Company
Policy/Claim Number: HP1658514, HP1658514
Date/Cause of Loss: 1 1 /201 , v indMindow Cracked
Our File Number: -D
Claim has been made involving loss, damage or destruction of the above captioned property,
which may either exceed $1,000.00 or cause II ASSACHI SETTS GENERAL LAWS, CHAPTER
3, SECTION 6, to be applicable. If any notice under MASSACH SETTS GENERAL LAWS,
CHAPTER 139, SECTION 313 is appropriate, please direct it to the attention of the writer and
include a reference to the captioned insured, location, polio, number, date of loss and claim or
file number.
Daniel Paul, Ext. 1 "
n this date, I caused copies of this Notice to be sent to the persons named above at the
addresses indicated above by First Class Flail.
A . "j..............
Signature and Date
AN SON ADJUSTMENT Co,, INC.
50 Nashua Road, suite 303
o Box 1098
Londonderry, NH 0305
Do: forth Andover Health Department
120 Main Street
North Andover, MA 01845
North Andover Eire Department
795 Chilering Road
North Andover, MA 0 1845