HomeMy WebLinkAboutInsurance Corespondence - Correspondence - 180 HIGH STREET 12/29/2019 Form of Notice of Casualty Loss to Building
Under MASS. GEN. LAWS, Ch. 139, Sec. 3B
To: Building Department
120 Main Street
North Andover, MA 01845
RE: Insured: Joseph Souza
Property Address: 180 High Street
Company: Merrimack Mutual Fire Insurance Company
Policy/Claim Number: FP2684245, FP2684245
Date/Cause of Loss: 12/29/2019, Cracked Boiler;
Our File Number: 37701-M
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 MASSACHUSETTS GENERAL LAWS, '
CHAPTER 139, SECTION 3B is appropriate, please direct it to the attention of the writer and
include a reference to the captioned insured, location, policy number, date of loss and claim or
file number.
Mike Peterson, Ext. 115 101
;
On this date, I caused copies of this Notice tom e� sent to the ersons named above at the
addresses indicated above by First Class Mil.
Signature and Date
ANDERSON ADJUSTMENT CO., INC.
50 Nashua Road, Suite 303
PO Box 1098
Londonderry, NH 03053
Cc: North Andover Health Department
120 Main Street
North Andover, MA 01845
North Andover Fire Department
795 Chickering Road
North Andover, MA 01845