HomeMy WebLinkAboutInsurance Certificate - Miscellaneous - 1211 OSGOOD STREET 2/13/2023 Phone. 978-632-2660 Fax: 978-632-2662
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TRUDEAU ADJUSPIVM-i SERVICE
P.O.Box 7
Gardner,MA 01440
claimsra trudeauadi.com
Notice of Casualtv Loss of Building
Under Massachusetts General Laws, Chapter 139, Section 313
02/09/2023
Building Inspector
North Andover Building Dept. i0�3
120 Main Street 1� vpJ�A
North Andover,MA 01845 �Q��
Board of Health \p�NNOLp�p
North Andover Health Dept. N�
120 Main Street
North Andover,MA 01845
Fire Department
North Andover Fire Dept./Dept. of Records
795 Chickering Road
North Andover,MA 01845
Insured: Lots of Eats Inc. dha Thai Me Restaurant
Claimant: N/A
Date of Loss: 02/04/2023
Type of Loss: Freeze
Loss Location: 1211 Osgood Street, North Andover, MA 01841
Policy No: BOP0100723390
File No.: 23-20164
Claim No.: 23101845
Claim has been made involving loss, damage, or destruction of the above captioned property, which may either exceed
1 000.00 or cause "Mass. Gen. Laws, Chapter 143, Section 6" to be applicable. If any notice under "Mass. Gen. Laws,
Chapter 139, Section 38"is appropriate, please direct it to the writer and include a reference to the captioned insured, location,
policy number,date of loss,and file or claim number.
Claim has been made involving loss, damage or destruction of the above-captioned property,which may exceed$5000.
If any notice under Massachusetts General Laws, Chapter 175, Section 97A is appropriate, please direct it to the
attention of this writer and include a reference to the above-captioned insured,location,policy number,date of loss and
claim number.
On this date,I cause copies of this notice to be sent to the person(s)named above at the address indicated by first class mail.
Sincerely,
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Elena Bourassa
Claims Adjuster