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56 D Pickman Rd_ Claim Notice 12.22.22 U MAPFRE I INSURANCE' January 3, 2023 Sent Via First Class Mail Building Commissioner or Inspector of Buildings City/Town Hall SALEM, MA 01970 Board of Health or Board of Selectmen City/Town Hall SALEM, MA 01970 RE: Property Damage to 56D PICKMAN RD, SALEM MA Name Insured: LILLIAN VIGLIOTTA Claim Number: H010017989- Date of Loss: Dec 22, 2022 Claimant: LILLIAN VIGLIOTTA Policy Number: 4375799305 Policy Period: Feb 28, 2022— Feb 28, 2023 _Building Damages Possibly Exceeding $1 000 00 Notice Pursuant to MGL Chanter 139 Section 3B Dear LILLIAN VIGLIOTTA: LILLIAN VIGLIOTTA 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, 12481. Sincerely, Commerce Insurance Company Duna Le Claim Specialist, Property MAIL: N/A CLM-561 05/20 Commerce Insurance Company 11 Gore Road Webster MA 01570 1 www.mapfreinsurance.com