30 DEARBORN ST_ DAMAGE LOSS CLAIM 11-22-2024 *000026*
Liberty Mutual Fire Insurance Company
P.O. Box A 1 Liberty Mutual.
14
Scranton P PA 8505-5014
INSURANCE
CONTACT US
City of Salem Sergio.Alvarez@LibertyMutual.c
ui 93 Washington St om
Salem, MA, 01970-3627 Direct: (800) 225-2467
Fax: (888) 268-8840
Liberty Mutual Fire Insurance
Company
P.O. Box 5014
Scranton PA 18505-5014
United States
(800) 225-2467
December 13, 2024
LibertyMutual.com
ATTN
Insured: BRIAN E. DAWSON
Policy Number: H32-218-145396-40
Claim Number: 058313581-01
Date of Loss: 1 1/2 212 024
Loss Location: 30 DEARBORN ST, SALEM, MA 01970-2450
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. 443, §9, or Mass. General Laws,
i Ch. 111. § 127B.
This letter should not be construed as a waiver or estoppel of any of the terms, conditions or defenses
afforded by the policy or applicable law. Please direct your notice to the attention of the undersigned and
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.
When contacting me by email, please include the claim number in the subject line.
Sincerely,
SERGIO ALVAREZ
Claims Department
MAL2020A Massachusetts Property Lien Letter 058313581-01 Page 1 of 1