HomeMy WebLinkAboutInsurance Corespondence - Correspondence - 11/28/2020 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723-3800 Ma Only f8001392-6108,FAX(800)851.8424
1/14/2021
Form of Notice of Casually Loss to Building
Under Mass, Gen.Laws Ch.139 Sec.313
NORTH ANDOVER BUILDING COMMOSSIONER
NORTH ANDOVER TOWN HALL
NORTH ANDOVER MA 01845
Re: Insured: ZORAN KOSTIC
Property Address: 1 HARVEST DR UN 213, NORTH ANDOVER, MA 01845
Policy Number: 1403285
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 11/28/2020
Claim Number. 453413
Claim has been made involving lass,damage or destruction of the above captioned property,which may either
exceed$1000.00 or cause Massachusetts General Laws, Chapter 143,section 6 to be applicable. if any
notice under Massachusetts General Laws Chapter 139 Section 36 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.
MPIUA Claims Division
CMA00021