HomeMy WebLinkAboutInsurance Claim - Correspondence - 223 MASSACHUSETTS AVENUE 3/19/2022 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723.3800 Ma Only(800)392-6108. FAX(800)851-8424
3/19/2022
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.3B
NORTH ANDOVER HEALTH DEPT.
NORTH ANDOVER TOWN HALL
NORTH ANDOVER MA 01845
Re: Insured: JESUETTE TOBETH
Property Address: 223 MASSACHUSETTS AVE. NORTH ANDOVER, MA 01845
Policy Number: 1355095
Type Loss: Windstorm Other than Hurricane or Tornad
Date of Loss: 03/14/2022
Claim Number: 464273
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
CMA00021
