HomeMy WebLinkAboutInsurance Claim - Miscellaneous - 55 FERNVIEW AVENUE 9 9/19/2023 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108, FAX(800)851.8424
9/9/2023
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws Ch.139 Sec.36
NORTH ANDOVER HEALTH DEPT. QEpPR���N�
NORTH ANDOVER TOWN HALL N
NORTH ANDOVER MA 01845 19 tip'l3
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Re: Insured: MARIA CIPRIANI
Property Address: 55 FERNVIEW AVE APT 9, NORTH ANDOVER, MA 01845
Policy Number: 1609713
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 08/10/2023
Claim Number: 474860
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