HomeMy WebLinkAboutInsurance Corespondence - Correspondence - 42 LACY STREET 5/23/2020 Form of Notice of Casualty Loss t uilding
Under MASS. GEN. LAWS, Ch. 13�9, Sec. 3B
'To, Building CommIssioner or
Inspector of Buildings
120, Main Street
North Andover, MA 01845
RE: Insured.- Michael & Jessl'e Watson
Property Address- 42 Lacy Street
Cornpany.* Bay State Insurance Company
Policy/'Claim, Number-, HP31,21764, HP312,1764
Date/Cause of Loss.- 5/2,3/2020,, Water & Mold/Plumgybing Leak
Our File Number,: 318109-R
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, SE,CTION' 38, 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 Werner, Ext. 116
On this date, I caused cloplies of this No is to, be sent to the persons named above, at the
addresses indicated above, by First, Class, Mail.
Slignaf 11�6 and Date
U Tn
ANDERSON ADJ TIVIENT CO., INC.
50 Nashua Road, Suite 303
PO Box 1098
Londonderry, NH 03053
Cc: Health Department North Andover Fire, Department
120 Main Street 795 Chic ring Road
North Andover, MA 101845 North Andover, MA 018145