10 OSBORNE ST UNIT 1_ NOTICE OF LOSS 4-21-25 '000072'
Liberty Mutual Fire Insurance Company
P.O. Box 5014
Scranton PA 18505-5014 Lib e ty mutual,
INSURANCE
CONTACT US
14 d nlnll h II I I I I III 611 I
City of Salem William.Hanna@LibertyMutual.c
93 Washington St om
Salem, MA, 01970-3527
Direct: (617) 631-5087
Fax: (888) 268-8840
Liberty Mutual Fire Insurance
Company
P.O. Box 5014
Scranton PA 18505 5014
United States
April 29, 2025 (800) 225-2467
ATTN LibertyMutual.com
Insured: LARS G. SANDSTROEM
Policy Number: H62-212-296449-30
Claim Number: 059247184-01
Date of Loss: 04/21/2025
Loss Location: 10 OSBORNE ST UNIT 1, SALEM, MA 01970-2513
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,
erty Mutual by
fied mail in
General'Lah ass.
ws Ch. 175, §99, if you You are required o intend o notify binitiate proceedings designed to perfect a lien rdance tpursuant to
Mass. General Laws, Ch. 139, §3A& B, or Mass. General Laws, Ch. 143, § 9, or Mass. General Laws,
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,
WILLIAM HANNA
Claims Department
MAL2020A Massachusetts Property Lien Letter 059247184.01 Page 1 of 1