99 BAY VIEW AVE_ LOSS CLAIM 8.16.23 •000007•
Liberty Mutual Fire Insurance Company
P.O. Box 5014
Scranton PA 18505-5014 Liberty Mutual.
INSURANCE
CONTACT US
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Town of Salem Anthony.Shahmoradi@LibertyMu
ra 93 Washington St tual.com
Salem, MA, 01970-3527 Direct: (800) 225-2467
Fax: (888) 268-8840
Liberty Mutual Fire Insurance
Company
P.O. Box 5014
Scranton PA 18505-5014
United States
September 15, 2023 (800) 225-2467
ATTN Liberty Mutual.com
Insured: CHRIS W. HENDERSON
Policy Number: H32-218-132691-40
Claim Number: 054528490-01
Date of Loss: 08/16/2023
Loss Location: 99 BAY VIEW AVE, SALEM, MA 01970-5752
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,
g 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
S 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
o loss. If you have any questions or concerns, please feel free to contact me, either by phone or by email.
When contacting me by email, please include the claim number in the subject line.
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Sincerely,
ANTHONY SHAHMORADI
Claims Department
Mill
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MAL2020A Massachusetts Property Lien Letter 054528490-01 Page 1 of 1