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November 27, 2025
Fire Department or
Arson Squad
795 CHICKERING RD.
NORTH ANDOVER, MA 01845
RE: PROPERTY DAMAGE TO 210 CHICKERING RD UNIT 306A NORTH ANDOVER MA
01845-4555
Name Insured: KEVIN SULLIVAN
Claim Number: HO10042413-1
Date of Loss: Nov 27, 2025
Policy Number: 4351999465
Policy Period: Dec 14, 2024 — Dec 14, 2025
Building Damages Possibly Exceeding $1,000.00
Notice Pursuant to MGL Chapter 139, Section 313
To Whom It May Concern:
KEVIN SULLIVAN has presented a claim involving loss, damage or destruction of the above
captioned property which may exceed $1,000.00 in total damages 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 said notice to my attention, referencing the above captioned insured, location,
policy number, date of loss, and file number on any correspondence.
Please contact the undersigned with any questions at 855.627.3737, Ext, 15628.
Sincerely,
Commerce Insurance Company
Dung Le
CLAIM SPECIALIST, PROPERTY
MAIL: P.O. Box 35928, Cleveland, OH 44135
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CLM-661 05/24 Commerce Insurance Company
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211 Main Street, Webster, MA 01570