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3 FAIRMOUNT STREET 8-1-24 CLAIM Providing Insurance and Financial Services � A—teF � ® Home Office, Bloomington, IL August 6, 2024 Town Of Salem State Farm Claims Assessors Dept PO Box 106169 93 Washington St Atlanta GA30348-6169 Salem MA 01970-3528 CERTIFIED MAIL: RETURN RECEIPT REQUESTED RE: Claim Number: 21-71S4-53D Our Insured: Niedre Heckman Date of Loss: August 1, 2024 Loss Location: 3 Fairmount St, Salem, MA 01970-1607 Tax Block: **TAX BLOCK** Tax Lot: **TAX LOT** To Whom It May Concern: State Farm Fire & Casualty Insurance Company writes to provide notice as required by Massachusetts law in connection with the matter referenced above. State Farm®received notice of loss or damage in excess of$1,000 at 3 FAIRMOUNT ST SALEM MA 01970. We hereby notify your office pursuant to General Laws c. 139, §313 that State Farm intends to make a payment of$1,000 or more in connection with the above referenced insurance claim. Further, the applicable amendatory Policy Endorsement informs the insured of the Massachusetts requirement by stating the following: "We are required by Massachusetts law that we must notify the local inspector of buildings or Board of Health at least 10 days before we make a payment of$1,000 or more for loss to a building or structure. We must also give notice if there is damage which makes a building a health or safety hazard or dangerous or unsafe for occupancy regardless of the amount of our payment. If, prior to payment, we receive official notice of a pending or existing lien against your premises, we must delay payment until the matter is settled. if we are required to pay all or part of the amount of the lien, we will not be obligated to pay that amo'At I V E D If you have questions or need assistance, call us at 603 566-8027. AUG 19 2024 CITY OF SALEM BOARD OF HEALTH