HomeMy WebLinkAboutInsurance Letter - Correspondence - 119-121 MARBLEHEAD STREET 6/3/2023 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston,Massachusetts 02108.1904
(617)723.3800 Ma Only(800)392.6108, FAX(800)851.8424
613/2023
Form of Notice of Casualty Loss to Building
Under Mass, Gen. Laws, Ch.139, Sec,313
NORTH ANDOVER HEALTH DEPT.
NORTH ANDOVER TOWN HALL
NORTH ANDOVER MA 01845
Re: Insured: DAVID MUSHATY AND HOLLY MUSHATY
Property Address: 119-121 MARBLEHEAD ST.NORTH ANDOVER, MA 01845
Policy Number: 1622976
Type Loss: Fire(including Fire caused by Lightning
Date of Loss: 06/01/2023
Claim Number: 472956
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 38 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