HomeMy WebLinkAboutInsurance - Loss - Correspondence - 41 PALOMINO DRIVE 7/30/2021 ADJUSTERS/APPRAISERS
FOR INSURANCE COMPANIES ONLY
P.O.BOX 8294
SALEM,MA 01971-8294
TEL. (978)741-5731
FAX (978)740-9109
claunga butterworthotoole.com
07/28/2021
FORM OF NOTICE OF CASUALTY LOSS TO BUILDING
UNDER MASS. GEN.LAWS,CH. 139, SEC. 3B
TO:
Building Inspector & North Andover Fire & Health Inspector
Department
120 Main Street 795 Chickering Road 120 Main Street
North Andover,MA 01845 North Andover,MA 01845 North Andover,MA 01845
RE: Insured: Sean Rya
Address: 41 Palomino Drive
North Andover,MA 01845
Policy No.: 2186649
Loss of: 07/16/2021 All Risk
File or Claim No.: 17-0694
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,Chanter 143,Section 6 to be applicable. If any notice under Mass.Gen.Laws,
Ch.139,Sec.3B 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.
If no reply is received from your office within ten days,we will assume you have no liens of any type against this
property and we will recommend to the insuring company that this claim is paid.
James Reilly
Adjuster
Men'er of
National Association of Independent Insurance Adjusters