HomeMy WebLinkAboutInsurance Claim - Correspondence - 234 MIDDLESEX STREET 11/1/2021 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108.1904
(617)723.3800 Ma Only(800)392-6108, FAX(800)851-8424
10/24/2021
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.313
NORTH ANDOVER HEALTH DEPT.
NORTH ANDOVER TOWN HALL
NORTH ANDOVER MA 01845
Re: Insured: JENNIFER FARESE
Property Address: 234-236 MIDDLESEX ST, NORTH ANDOVER, MA 01845
Policy Number: 1552550
Type Loss: Other Causes of consequential Mold
Date of Loss: 09/17/2021
Claim Number: 459369
Claim has been made involving loss,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 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.
MPIUA Claims Division
vE
OF NORPp.�MtiN�