HomeMy WebLinkAboutInsurance Claim - Miscellaneous - 111 CROSSBOW LANE 12/6/2022 Providing Insurance and Financial Services i StateFarm�
Home Office, Bloomington, IL
RECEIVED
November 29, 2022
DEC 0 6 2022
Health State Farm Claims TOWN OF NORTH ANDOVEH
120 Main Street PO Box 106169 HEALTH DEPARTMENT
North Andover, MA 01845 Atlanta GA 30348-6169
CERTIFIED MAIL: RETURN RECEIPT REQUESTED
RE: Claim Number: 21-41W9-25C
Our Insured: Sharon M Kula
Date of Loss: November 15, 2022
Loss Location: 111 Cross Bow Ln, No Andover, MA 01845-3006
Tax Block: Unknown
Tax Lot: Unknwon
State Farm Fire & Casualty Insurance Company writes to provide notice as required by
Massachusetts law in connection with the matter referenced above. State Farm®received notice _
of loss or damage in excess of$1,000 at 111 CROSS BOW LN NO ANDOVER MA 01845-
3006.
We hereby notify your office pursuant to General Laws c. 139, §3B that State Farm
intends to make a payment of$1,000 or more in connection with the above referenced
insurance claim.
Further, the applicable amendatory Policy Endorsement informs the insured of the
Massachusetts requirement by stating the following:
"We are required by Massachusetts law that we must notify the local inspector of
buildings or Board of Health at least 10 days before we make a payment of$1,000 or
more for loss to a building or structure.
We must also give notice if there is damage which makes a building a health or safety
hazard or dangerous or unsafe for occupancy regardless of the amount of our payment.
If, prior to payment, we receive official notice of a pending or existing lien against your
premises, we must delay payment until the matter is settled. If we are required to pay all
or part of the amount of the lien, we will not be obligated to pay that amount to you.
If you have questions or need assistance, call us at (844) 458-4300 Ext. 9727614853.