9 GRISWOLD DR UNIT D_ CLAIM 4.27.24 ru
AML
Claims Department 5 Sam Fonzo Drive I Beverly, Massachusetts 01915
r • 800.227-2757 1 Electriclnsurance.com
May 1, 2024
Building Commissioner or
Inspector of Buildings
93 Washington Street
Salem, Massachusetts 01970
RE: Insured: HAYLEY FOGLIETTA
Claim Number: 2024043OA10
Policy Number: H6074921H1
Date of Loss: April 27, 2024
Property Address: 9 GRISWOLD DR# D SALEM, MA 01970-6702
Form of Notice of Casualty Loss to Building
Under Massachusetts General Laws Chapter 139, Sec. 3B
Claim has been made involving loss, damage or destruction to the above-captioned property, which may
equal or exceed $1.000 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 to
the attention of the undersigned and include a reference to the captioned insured, location, policy
number, date of loss and claim or file number.
On May 1, 2024 copies of this notice were sent by first class mail to the entities and addresses noted
herein.
Sincerely,
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Katherine Perotti
Claims Specialist
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