HomeMy WebLinkAboutInsurance Letter - Correspondence - 2/1/2023 7
MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108.1904
(617)723-3800 Ma Only(800)392.6108, FAX(800)851.8424
2/1112023
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch,139,Sec,313
NORTH ANDOVER BUILDING COMMOSSIONER
NORTH ANDOVER TOWN HALL
NORTH ANDOVER MA 01845
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Re: Insured: MARK AND LUDMILA GERVITS
Property Address: 4 HARVEST DRIVE, UNIT#102. NORTH ANDOVER, MA 01845
Policy Number: 1089293
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 02/01/2023
Claim Number: 470593
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 313 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
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CMA00021