23 WEATHERLY DR UNIT 23- CLAIM NOTICE 5.11.24 Adi
IFSafety Insurance
AUTO• HOME•BUSINESS
May 18, 2024
Building Commissioner or Inspector of Buildings
Fire Department or Arson Squad
Board of Health or Board of Selectmen
City Hall
SALEM, MA 01970
RE: Claim Number: LHMA03D899
Insured(s): ARLENE GERMAIN
Property Address: 23 WEATHERLY DR, UNIT 23, SALEM, MA 01970
Policy Number: HMA0423797
Date of Loss: 5/11/2024
Notice of Loss Under M.G.L. c. 139, & 313
This communication shall serve as written notice pursuant to M.G.L. c. 139, § 3B that [Safety
Insurance Company] ("Safety") has received a claim involving loss, damage or destruction to a
building or other structure at the above-reference address which may either: (1) meet or exceed
$1,000; or (2) cause the condition or the building or other structure to render M.G.L. c. 143 § 6
applicable.
In accordance with M.G.L. c. 139, § 313, if the city or town intends to initiate proceedings designed
to perfect a lien under Section 3B, M.G.L. c. 143, §9 or M.G.L. c. 111, § 127B, please notify Safety
of the same by certified mail. Kindly forward such notice to my attention, at the address indicated
above, and include with such notice a reference to the above-described insured, property address,
policy number and claim number.
_ If you kaysa."ay questions regarding this net+ce;-pieaee feel free to contact ine directly by email at —
petenajarian@safetyinsurance.com or by phone at 617-951-0600 extension 3168.
Sincerely,
Pete Najarian
Property Adjuster 4
N.
r 4 JUN I:E
Visit us at w .safetyinsurance.com/claims for Frequently Asked Claims Questions
Safety Insurance P.O. Box 55098 Boston,MA 02205-5098 800-951-2100
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