HomeMy WebLinkAboutInsurance Letter - Correspondence - 18 BUCKLIN ROAD 1/8/2026 *000095*
Montgomery Mutual Insurance Company
P.O. Box 5014 I iberty utual.
Scranton PA 18505-5014
INSURANCE
CONTACT U
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Town of North Andover Marjorie.Bast@LibertyMutual.co
120 Main St
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North Andover, MA, 01845-2420 Fax: (888) 268-8840
Montgomery Mutual Insurance
Company
P.O. Box 5014
Scranton PA 18505-5014
United States
(800) 225-2467
January 8, 2026 LibertyMutual.com
ATTN
Insured: RAJESH S. SHUKLA
Policy Number: H3A-212-347231-30
Claim Number: 060718087-01
Date of Loss: 01/06/2026
Loss Location: 18 BUCKLIN RD, NORTH ANDOVER, MA 01845-
5928
To Whom It May Concern,
Pursuant to M.G.L. c. 139, § 3B, please be aware that a homeowners insurance claim has been made
involving loss, damage or destruction of the above captioned property, which may either exceed
$1,000.00 or causes the condition of a building or other structure to render Mass. General Laws, Ch.
143, § 6 applicable. You are required to notify Liberty Mutual by certified mail in accordance with Mass.
o General Laws Ch. 175, §99, if you intend to initiate proceedings designed to perfect a lien pursuant to
8 Mass. General Laws, Ch. 139, §3A& B, or Mass. General Laws, Ch. 143, §9, or Mass. General Laws,
o Ch. 111, § 127B.
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o This letter should not be construed as a waiver or estoppel of any of the terms, conditions or defenses
o afforded by the policy or applicable law. Please direct your notice to the attention of the undersigned and
CD
CD include a reference to the above captioned property address, policy number, claim number, and date of
CD loss. If you have any questions or concerns, please feel free to contact me, either by phone or by email.
o
When contacting me by email, please include the claim number in the subject line.
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Sincerely,
MARJORIE BAST
Claims Department
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MAL2020A Massachusetts Property Lien Letter 060718087-01 Page 1 of 1