HomeMy WebLinkAboutInsurance Corespondence - Correspondence - 83 CAMPBELL ROAD 4/26/2020 Form of Notice of Casualty Loss to Building
Under MASS. GEN. LAWS,, Ch. 139, Sec. 313,
To: Building Commissioner or
Inspector of Buildings,
120 Main Street
North Andover, MA 01845
R Insured:, 'Thomas & Lucle Fallon E
Property Address.- 83 Campbell Road
Company: Merrimack Mutual Fire Insurance Company
Policy/Clairn Numberl.-, HP,3083624, HP3083624
to Cause of Loss: 4/26/21020, Water/Sink Overflow,
Our File Number.- 3,8002-R
Claim has been made involving loss, damage or destruction of the above captioned property,
which may either exceed $1,000.00 or cale M'ASS ACHUSETTS 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.
Ryan W,erner, Ext. 116
On this,date,, I caused copies of this Notice to be sent to the p ttoq� named above at the
addresses indicated above by, First Class, Mail.
Br oat l,'anl&bate
ANDERSON ADJUST,` ENT CO., ZINC.
50 Nashua Roadi�, Suite, 303
P1O Box 1098
Lon my, NH 03053
Cc: Health Department North Andover Fire Department
1,20 Main Street 795, Chickering Road
North Andover,, MA 01845 North Andover, MA 0 18145