HomeMy WebLinkAboutInsurance Corespondence - Correspondence - 975 FOREST STREET 8/23/2020 AMMI W Safety Insurancek
AUTO• HOME BUSINESS
August 26, 2020
Building Commissioner or Inspector of Buildings
Fire Department or Arson Squad
Board of Health or Board of Selectmen
City Hall
NORTH ANDOVER, MA 01845
RE: Claim Number: LHMA000307
Insured(s): LEONARD A DUBOIS and DANA G DUBOIS
Property Address: 975 FOREST STREET, NORTH ANDOVER, MA 01845
Policy Number: HMA0252713
Date of Loss: August 23, 2020
.... ......
Notice of Loss Under M.G.L. c. 139A313
This communication shall serve as written notice pursuant to M.G.L. c. 139, § 3B that [Safety
Insurance Company] ("Safety") has received a claim involving loss, damage or destruction to a
building or other structure at the above-reference address which may either: (1) meet or exceed
$1,000; or (2) cause the condition or the building or other structure to render M.G.L. c. 143 § 6
applicable.
In accordance with M.G.L. c. 139, § 3B, if the city or town intends to initiate proceedings designed to
perfect a lien under Section 3B, M.C.L. c. 143, §9 or M.G.L. c. 111, § 127B, please notify Safety of
the same by certified mail. Kindly forward such notice to my attention, at the address indicated
above, and include with such notice a reference to the above-described insured, property address,
policy number and claim number.
It you have any questions regarding this notice, please feel free to contact me directly by email at
Rick Zak@SafetyInsurance=m or by phone at 800-951-2100 x5021.
Sincerely,
Rick Zak
Property Claims Examiner
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Safety 111SUrance P.0, Box 55098 Boston, MA 02205-5098 800-951-2100
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