HomeMy WebLinkAboutInsurance Letter - Correspondence - 4 HARVEST DRIVE 102 12/1/2023 I
MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(6171723-3800 Ma Oniv(800)392-6108, FAX(800)851.8424
12/16/2023
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.313
NORTH ANDOVER BUILDING COMMOSSIONR
NORTH ANDOVER TOWN HALL
NORTH ANDOVER MA 01845
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Re: Insured: MARK AND LUDMILA GERVITS
Property Address: 4 HARVEST DRIVE. UNIT#102, NORTH ANDOVER, MA 01845
Policy Number: 1089293
Type Loss: All Other Section i Losses
Date of Loss: 12/0112023
Claim Number: 476461
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
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