HomeMy WebLinkAboutInsurance Corespondence - Correspondence - 2 HAY MEADOW ROAD 6/17/2020 i
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Phone: 7 -632-2660 Fax: 978-632-2662
Adjustment Service Inc.
Gardner,t A MA
01440
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Notice of Ca �
Suait l..�oss itil 1n
Under Massachusetts General Laws, Chapter 139, Section 313
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June 1.7,2020
Wing lnsliector
12C!Main Street
f North Andover, MA 01845
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Bcaar•al of Health t
12()Maui Street
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North Andover, MA 01 45
Fire Department
Dept, of Records
75 Chickering Road
North Andover, MA 01845
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Insured: Patricia Pendergast f
l.aiss Location: 2 Haymeadow Road, North Andover, M.A.Ol 1i45
Insurance Company: Preferred Mutual Insurance CO.
Policy No.: PHOO100799077
Date of i,oss: January 15, 2017
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File Number: 20-18369
Claim Number: 201.09562 T
Type cif Loss: Fire r
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C'larrn has been ar��ra�c involving loss, 4lwcrvaa�e rar• dc,strrrc;�tic�r� c�r.l' 4l�ic, above c�rt�rtre�r�r�,d property, vvk�ic;h r�na either
exceed Cier l�aw,)O().QQ or caws Maas, Gen 1 aw f 1_b 1-1 t 143, ec,ta,c�rr 6 to be applicable, I1`any notice under ass. 7
_,("h ter-139 ter- Sec..... rw E " �r, appropriate, pleas c cltrec,t it to the writer and include a reference to the
captioned inured, location, policy number, date of loss, and file or claim number.
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Claim has been made involving loss, damage or destruction of the above-captioned property, which may
exceed $5000. If any notice under Massachusetts General Laws C"ha ter 175 Seetiarn 97A is appropriate,
please direct it to the attention of this writer and include a reference to the above-captioned insured,
location,policy number, date of lass and claim number.
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Can this elate, l c;arrse copies of this notice to be sent to the person(s) named. above at the address indicated by first
class rnail.
Sincerely,
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Justen hires
Claims Adjuster~
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