12 NORTHEY ST_ CLAIM NOTICE 4.30.23 ® MAPFRE I INSURANCE`
May 2, 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 12 NORTHEY ST, SALEM MA
Name Insured: PHILIP HIGGINS
Claim Number: HO10022314-
Date of Loss: Apr 30, 2023
Claimant: PHILIP HIGGINS
Policy Number: 4225578667
Policy Period: Nov 23, 2022 — Nov 23, 2023
Building Damaaes Possibly Exceedina $1 000 00
Notice Pursuant to MGL Chapter 139 Section 313
Dear PHILIP HIGGINS:
PHILIP HIGGINS 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: N/A
CLM-561 05/20 Commerce Insurance Company
11 Gore Road Webster MA 01570 1 www.mapfreinsurance.com