HomeMy WebLinkAboutInsurance Claim - Miscellaneous - 76 TUCKER FARM ROAD 3/24/2005 wccmmerce Insurance
The Commerce Insurance Company
C1c Citation Insurance Ccmpdny
Members of The Commerce Group, Inc.
CLAIMS DEPT. 11 Gore Road,Webster, Massachusetts 01570 (508)949-1500
www.Commercelnsurance.com
March 21, 2005
BUILDING COMMISSIONER or Board of Health or
INSPECTOR OF BUILDINGS Board of Selectmen
TOWN/CITY HALL Town/City Hall
N ANDOVER MA 01845
RE: Our Insured: KENNETH J HUBBELL/CHRISTINE A HUBBELL
Property Address: 76 TUCKER FARM RD --
Policy#: ZY1300
Date of Loss: 03/20/2005
File#: YV6424-VCY198
Claim has been made involving loss, damage, or destruction of the above captioned
property which may exceed $1,000, 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 my attention. Please reference the above captioned insured, location,
policy number, date of loss, and file number on any correspondence.
DIANE LECLAIR Telephone: (508)949-5004
Claim Adjuster Toll Free: 1-800-221-1605, Ext: 5004
On this date, I cause copies of this notice to be sent to the persons indicated above, at the
address above, by first class mail. _
March 21, 2005
WATER DAMAGE TO BASEMENT FROM BROKEN WATER BOILER.
RECEIVED
MAR 2 4 2005
BUILDING DEPT.
CcmmCrc Ccmpa171es ....COME GROW WITH us
CIC 254 (Rev.4/95) MAIL C78