HomeMy WebLinkAboutInsurance Letter - Correspondence - 798 CHICKERING ROAD 9/20/2022 MASSACHUSETTS PROPERTY INSURANCE UNDERMITING ASSOCIATION
Center Plaza
Boston, Massachus,efts,02108,19,104
(16,117')1723-3,800 Ma On[v (8001392-6,108, FAX(8,0018,51-8424
10/1/2022
Forrn 'Notice of Casualty Loss to Builiding
Under Mass. Gen. Layvs�C�i�,1��3 9.1S,e c,,3 B�
NORTH ANDOVER BUILDING COMMOSSIONER
NORTH ANDOVER TOWN HALL,
NORTH ANDOVER MA 018,45
R e Insured: NOUREDDINE BOUTISSANT AND NAIMA ELBAQAU
Property Address-, 798,CHICKERI ', M,A, 01945,
Policy Numb,er",-' 159,010112
Type Loss,-., Water Damage:All Other Water Diarnage
Date,of Los,s,'.- 09,120/2022
Cia,"I'm Nufter'. 467733
Cla
1 -n It i,m hcas been made iinvo loin g loss,idariiage or,destructio�n of the above captioned property,which i ay elt er,
exceed $1000.00 or CaUse Massachusetts General Laws, I ,jt.gr 3 tijorL6 to be applicable. If any,
Qtg 14
n approp otice urn sac der Mashusetts General Law�&ia tejr,1 a9i Segfigg,3B is riate, please directit,to,thei
aftwilion of the writer anid include,a reference tothe captiolned insured, lociatilotl, piolicy,number-,date,of'loss
and claini or file number.
n MPJUA Claimis Divisi'o,
CMA00021