HomeMy WebLinkAboutInsurance Letter - Correspondence - 1 HARVEST DRIVE 213 12/14/2023 i
MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108.1904
(617)723-3800 Ma Oniv(800)392.6108,FAX(800)851-8424
12123/2023
Form of Notice of Casualty Loss to Building
Under Mass,Gen. Laws,Ch.139, Sec.36
NORTH ANDOVER FIRE DEPT. 1
796 CHICKERING RD
NORTH ANDOVER MA 01845
Re: Insured: ZORAN KOSTIC
Property Address: 1 HARVEST DR UN 213, NORTH ANDOVER, MA 01845
Policy Number: 1403285
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 12/14/2023
Claim Number: 477026
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
i
CMA00021