HomeMy WebLinkAboutInsurance Claim - Correspondence - 67 ROCKY BROOK ROAD 10/28/2021 Claim #
Advantage Claim Services Adjuster Assigned: Glenn Guarente
200 Sutton St. Suite 233
North Andover MA 01845
Form of Notice of Casualty Loss to Building G�
Under Mass. Gen. Laws, Ch. 139, Sec. 3B
To: BOARD OF HEALTH ksp, �\'D P
TOWN OF NORTH ANDOVER
120 MAIN ST
NORTH ANDOVER MA 01845
Re: Insured: Jay Huapaya
Property address: 67 Rocky Brook Rd.
North Andover, MA 01845
Policy #: 2104397
Loss of: 2021/10/13
File or Claim No. AD 2785
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,_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.
Glenn Guarente
Title: Adjuster
On this date, I caused copies of this notice to be sent to the persons
named at the addresses indicated above by first class mail.
10-25-2021
Signature and date
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