HomeMy WebLinkAboutInsurance Corespondence - Correspondence - 102 BRADFORD STREET 1/15/2020 Form of Notice of Casualty Loss to Building
Under MASS. GEN. LAWS, Ch. 39, sec, 3B
To: Building Department
120 Main Street
North Andover, MA 01845
RE4 Insured: Jeremy & Deborah Hall
Property Address: 102 Bradford Street
Company: Bair State Insurance Company
Policy Claim Number: HP13403 6, HP1 4039
Date/Cause of Loss; 1 2 2019t Water/Basement Lead
Our File Number: 3773 -D
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 MASSACH S TTS GENERAL LAWS,
CHAPTER 19, 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.
Daniel Paul, Ext, 117
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.
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Signature and Date
ANDERSON ADJUSTMENT Co., INC.
o Nashua Road, suite 303
o Box 1098
Londonderry, NH 033
Co: North Andover Health Department
120 Main Street
Norton Andover, MA 0134
North Andover Fire Department
795 Chickering Road
North Andover, MA 01845