HomeMy WebLinkAboutInsurance Letter - Correspondence - 223 MASSACHUSETTS AVENUE 3/14/2022 MASSACHU'SET'TS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boslt.on, Massachusetts 0121018-1904
(6 1 T)723-3,800 M a On 1v('80101)392-6 108. FAX(80,01851-84,24
3/1912022
Form of Notice of' Casualty Loss t�o it III
Under Mass., Gen. Law'sCh.1,39, Sec-3B,
NORTH ANDOVER BUILDING COMMOSSIONER
NORTH ANDOVER TOWN HALL
N01R,TH,ANDOVER MA 01845
Re: Insured., JESUETTE TOBETH
Propedy Address: 223 MASSACHUSETTS AVE, NORTH ANDOVER, MA 01845,
Poficy, Nurnib,eri,-' 1,3515095
Type Lossi: Windstorm Other,thian HILirricane,v'Torniald
Date,olf'Loss,�- 03/14/2,0122
Claim Nurn,b,er:' 464273
Claim has,been made involving loss,damage or destruction of the above captioned property,,which may either
exceed $11000.001 or, Cha cause Massachusetts Genera l Laws 13, section 6 to be applicable,, If any
I�_ 1,pte,r 14
notice under'Massachusetts General LaA�,,�Chalte�r' 13�9,_5ect�bn 36,iis appropriate, please direct itto'the
attentionof the writer andi incluide a refereu the captioned insuirk, location, policy,nunibefr,, date ofloss
and clairn or file nUmber,
MM 'MA.Claims Division
CMA00, 021