HomeMy WebLinkAboutInsurance Corespondence - Correspondence - 119 MARBLEHEAD STREET 4/8/2020 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
ICE: Insured: David M shaty
Property Address: 11 -121 Marblehead Street
Company: Merrimack Mutual Fire insurance Company
Policy/Claim Number: FP5527976, FP5527976
Date/Cause of Loss: 1 /2 2o, Unauthorized Removal of Trees
Our File Number: 3 112-D
Claim has been rude 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 AL 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, policy number, date of loss and claim or
file number.
Daniel Paul, Ext. 11
n this cute, l caused copies of this Notice to be sent to the persons named above at the
addresses indicated above by First class Mail.
Signature and Date
Ai DERSO I ADJUSTMENT CO., INC.
50 Nashua Road, suite 303
PO Box 1098
Londonderry, NH 033
Cc: Health Department
120 Main street
North Andover, MA 01
North Andover Fire Department
795 Chici eying Road
North Andover, MA 01845