26 CHARLES STREET_ CLAIM 10-5-24 •000027•
LM General Insurance Company
P.O. Box 5014 Liberty Mutual.
Scranton PA 18505-5014
INSURANCE
Z. CONTACT US
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City of Salem Cherrelle.Davis@LibertyMutual.c
om
93 Washington St
Salem, MA, 01970-3527 Direct: (469) 997-4785
Fax: (888) 268-8840
LM General Insurance
Company
P.O. Box 5014
Scranton PA 18505-5014
United States
(800) 225-2467
October 9, 2024
LibertyMutual.com
ATTN
Insured: ANDREW J. STEGELMANN
Policy Number: H3S-218-505667-40
Claim Number: 058009411-01
Date of Loss: 10/05/2024
Loss Location: 26 CHARLES ST, SALEM, MA 01970-4514
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
o Mass. General Laws, Ch. 139, § 3A& B, or Mass. General Laws, Ch. 143, §9, or Mass. General Laws,
Ch. 111, § 1276.
0
This letter should not be construed as a waiver or estoppel of any of the terms, conditions or defenses
g afforded by the policy or applicable law. Please direct your notice to the attention of the undersigned and
S include a reference to the above captioned property address, policy number, claim number, and date of
g 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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0
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Sincerely,
CHERRELLE DAVIS
Claims Department
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MAL2020A Massachusetts Property Lien Letter 058009411-01 Page 1 of 1