HomeMy WebLinkAboutCasualty Loss of Building - Miscellaneous - 24 LONGWOOD AVENUE 11/19/2020 Phone: 978-632-2660 Fax: 978-632-2662
JAMES A. TRUDEAU
Adjustment Service Inc.
P.O.Box 7
Gardner,MA 01440
claims(&trudeauadi&
Notice of Casualty Loss of Building
Under Massachusetts General Laws, Chapter 139, Section 313
November 17,2020
Building Inspector
120 Main Street
North Andover,MA 01845
Board of Health
120 Main Street
North Andover, MA 01845
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Fire Department
Dept. of Records
Road North Andover,MA 01845 N NOR�N NN ENS
Insured: Cheryl A Lanzoni
Loss Location: 24 Longwood Avenue,North Andover,MA 01845
Insurance Company: Preferred Mutual Insurance Co.
Policy No.: PHOO100935463
Date of Loss: October 29,2020
File Number: 20-18783
Claim Number: 20118817
Type of Loss: Property Damage
Claim has been made involving loss, damage, or destruction of the above captioned property, which may either
exceed$1,000.00 or cause"Mass. Gen. Laws, Chapter 143, Section 6"to be applicable. If any notice under"Mass.
Gen. Laws, Chapter 139, Section 313" is appropriate, please direct it to the writer and include a reference to the
captioned insured, location,policy number, date of loss, and file or claim number.
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, Chapter 175, Section 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 loss and claim number.
On this date, I cause copies of this notice to be sent to the person(s) named above at the address indicated by first
class mail.
Sincerely,
Joshua M. Trudeau
Claims Adjuster