HomeMy WebLinkAboutInsurance Claim - Miscellaneous - 55 FURBER AVENUE 10/17/2023 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108.1904
(617)723-3800 Ma Only(800)392.6108. FAX(800)851.8424
10/7/2023
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.313
NORTH ANDOVER HEALTH DEPT.
NORTH ANDOVER TOWN HALL 1�1013
NORTH ANDOVER MA 01845 OCR
Re: Insured: BRENDAN LARKIN AND MEGHAN LARKIN
Property Address: 55 FURBER AVE, NORTH ANDOVER, MA 01845
Policy Number: 1607706
Type Loss: Other Physical Damage
Date of Loss: 09/08/2023
Claim Number: 475443
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