HomeMy WebLinkAboutInsurance Corespondence - Correspondence - 234 MIDDLESEX STREET 9/17/2021 (3) MASSACHUSETT'S PROPERTYINSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza,
Bos,toq, Massachusefts,0211108-11904,
(617),7231-3,800 Mai OnIv(800)3,92-6,1081. FAX('800)8511-8,424
10124/2021
Forrni of'Notice of' Casual ilding
Under Mass.Gen. LassCh.1.39, Sec,.3,B
NORTH ANDOVER,BUILDING COMMOSSIONER
NORTH ANDOVER,TOWN HALL
NORTH ANDOVER MA 0118,45
[nsured:, JENNIFER FARESE
Propertly A,d*ess,i: 234-236,MIDDLESEX ST NORTH ANDOVER MA 0,1845,
Policy Number-.,, 15,52550
Type Loss.- Other Causes of consequential Mold
Date 101oss,: 09/17/2021
Claim Number: 4593,6191
Claim has been�made involving loss,damage,or destruction of the above calptioned property,which rnay either,
r c ectiori to be appilicable. If any,
exceed$1000,,,00 o cause MassahUsetts General section 6 LaWS, C,h,ap,ter 143,. 6
notice under,Massachusetts General Law's Ch,,aptgr 13,9 Section 3B,is appropriate,, pleaSe direct,it to the
lociation,P01"ICY IlUmber, date of loss
attentI on,of'the writer and[niclude a ref'erence to the capitioned insured,,
and claim,or file numibier.
MPILIA Claiti�s Divislon
CMAGO,021