HomeMy WebLinkAboutInsurance Corespondence - Correspondence - 198 DALE STREET 10/1/2021 pYh',
Safety Insurance
AUTO* °I BUSINESS
24, U
i l i g Cornmisis or ionetoiInspector of BUildir
Fire Department or At-son Squad
Board of Health or Board of Selectaien
City Hall
ANDOVER,
MIA 01,845
k.. ,„,
lins,ured(s),.: DANIEL TAKESIAN
Numib,er.1 1 1
2
Noti"ce of Loss, Under M.G.L.
„i 39A�3BThis communicalion shall, serve aswritten no,ficle pUrsuant to M.G.L. c. '139 § 3B ,that [Safety
Insurance Company] (PiSafety"') has reice I ived a clairn involving lioss, damage or destruction to a
r structure N
ii °® address hic '� (1) meet or eXceed
$i 000l- or (2) cause the condition or thei building or other, stri,icture to render M.G.L., c. 143 § 6
applilcable.
In accordance with M.G.L. c. 139, § i � ntends tio initiate, g e ; ned
to perfect a lien under Section 3B,, M.G.L. c. ,1 §9 or M.G.L. c.
certified 111, § "l 27B,, please notify Safety
of the same by a . Kindly forwardnotice attention, atthe address indiciated
above, and include with such notilice, aw reference sic' eaddress,
policy nurnber and claim an
If you have any q uesti ions regardlIng thls, riotice, pleaseire m .
Sincerely,
i
Property Clialms Adjuster
010.1 fie)l "I C
01 10 CA3 4w1)'