HomeMy WebLinkAboutInsurance Letter - Correspondence - 4/25/2023 i
MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108.1904
(617)723.3800 Ma Only(800)392.6108, FAX(8001851.8424
5/13/2023
Form of Notice of Casualty Lass to Building
Under Mass.Gen, Laws,Ch.139, Sec.36
NORTH ANDOVER BUILDING COMMOSSIONER
NORTH ANDOVER TOWN HALL
NORTH ANDOVER MA 01845
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: 04/2512023
Claim Number: 472646
Claim has been made involving loss,damage or destruction of the above captioned property,which may either
er Laws, Chapter s exceed$1000.00 or cause Massachusetts General ,, , ,:_ection 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