HomeMy WebLinkAboutInsurance Corespondence - Correspondence - 850 JOHNSON STREET 9/21/2021 A4066,
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WOR, Safety Insurance
AC17"O- HOME - BUSINESS
November 4,,, 2021
Building Commissioner or Inspector of BUildi'llgS
Fire Department or Arson Squad
Board olf 1--leal1 or BICI a,irid of' S,electrnen
C i ty Ha H
NORTH ANDOVER, MA 01845
R E Claim Number: LHIMA0012629
lnisured(s).,, GREGORY MENDONGA
Prolpeifty Adlidries,s.- 850 JOHNSON STREET, NORTH ANDOVER, MA 0,1845
Poficy Numb,erl:, HMA1032,6497
Date of Loss: 9/21/20211
Notice of Loss Under M.G.L., c. 139A, ,�3B
11"I'lliS, COI Tli�rTluniiicat, l�'i,, shall seieve aswritten 1"ioticle, PLA!rst.jant to, M.G.L. c,, 139,, § 3B that [Safety
[risurarice Cloirnipany] ("Safety") 11as receiveld aclaim irivolvirig loss, (Jarniage ordestrLICtion to a
builidin,g or,ott"ier StIOUCture at thle, above-reference address, whk1,.,Ti, tiiay eiffier,, �(1) mleet or exceed
or (2) cause the conditiot ilding or other s'11:ructure to re der V1.G, , c,, 143 § 6
applicable.
in
In alcicordance witi-i M.G.L. c. 139, § 3&� if thle 6ty or tow inlends to initiate proceledings, designed
tio, Perlect a lien under Section, 3B, M.G.L. c,. ....143r §9 or M.G.I.— co,,. 111, § 12713, please notify Safety
ot the sarne bycetlified rTiail. Kindly forwat,'d SLIC11"ii �'iiofice to rriy attention,, at the address ifildicated
abovie, wid include wit[ai SUCh notice a, referenceto the above-desicribled insured, property, address,Y
Policy number and clai'm number.
If havle, qi-,jestioris reg,,,,irdijng thi's, nc,)fice, nle,asie,,, �f fre e; to (.:,ontact rne directIv by ernaill at
,Cot,i art't- ie,jn@ Ins uIr,a Ili ce,,coti,i or by phone at 8009512100.
Sincerely',
GOUrtney Mi(calleir'i
Sio MultiLines, AdjUster
'Visit t,j at fliri,"ilic; 1(c,)r F req je ifly Asked Clain"lis Oi-jestiot'is
S,af(,,,,,,,,hty P,,O,, Box 5,5098 Bic.)!S�turi,, MA 02205-5098 800-95121 C)O
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