HomeMy WebLinkAboutInsurance Claim - Miscellaneous - 798 CHICKERING ROAD 10/17/2022 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723-3800 Ma Onlv(800)392.6108.FAX(800)851-8424
10/1/2022
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.3B
NORTH ANDOVER HEALTH PT GO
NORTH ANDOVER TOWN HALL
NORTH ANDOVER MA 01845 1+�'l��.�00Al�
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Re: Insured: NOUREDDINE BOUTISSANT AND NAIMA ELBAQALI
Property Address: 798 CHICKERING RD, NORTH ANDOVER, MA 01845
Policy Number: 1590012
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 09/20/2022
Claim Number: 467733
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