HomeMy WebLinkAboutInsurance Claim - Miscellaneous - 5 WALKER ROAD 4 8/21/2023 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108, FAX(800)851-8424
8/12/2023
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.313
NORTH ANDOVER HEALTH DEPT.NORTH ANDOVER E2P
TOWN
HALL
NORTH ANDOVER MA 01845
Re: Insured: KENNETH REYNO AND MARY COLLIER
Property Address: 5 WALKER RD, NORTH ANDOVER, MA 01845 C)
Policy Number: 1497568
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 08/08/2023
Claim Number: 474360
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 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