21 CARLTON ST_ LOSS CLAIM 9.8.23 `000160`
LM General Insurance Company
P.O. Box 5014 ,
Scranton PA 18505-5014 Liberty Mutual.
INSURANCE
CONTACT US
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City of Salem Sergio.Alvarez@LibertyMutual.c
Bi 93 Washington St om
Salem, MA, 01970-3527 Direct: (800) 225-2467
Fax: (888) 268-8840
LM General Insurance
Company
P.O. Box 5014
Scranton PA 18505-5014
United States
October 6, 2023 (800) 225-2467
ATTN Liberty Mutual.com
Insured: LINDLEY S. HANSON
Policy Number: H3S-218-169421-40
Claim Number: 054899409-01
Date of Loss: 09/08/2023
Loss Location: 21 CARLTON ST, SALEM, MA 01970-5203
To Whom It May Concern,
Pursuant to M.G.L. c. 139, §313, 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.
General Laws Ch. 175, §99, if you intend to initiate proceedings designed to perfect a lien pursuant to
Mass. General Laws, Ch. 139, §3A&B, or Mass. General Laws, Ch. 143, §9, or Mass. General Laws,
Ch. 111, § 127B.
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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
o include a reference to the above captioned property address, policy number, claim number, and date of
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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a Sincerely,
SERGIO ALVAREZ
Claims Department
MAL2020A Massachusetts Property Lien Letter 054899409-01 Page 1 of 1