14 SAUNDERS STREET_ NOTICE OF LOSS 8-11-25 i
Safety Insurance-
AU 0 • HOME• BUSINESS
August 13, 2025
Building Commissioner or Inspector of Buildings
Fire Department or Arson Squad
Board of
City Hall Health or Board of Selectmen
SALEM, MA 01970
RE: Claim Number:
LHMg05EEA7
Insured(s): THOMAS MCKINNON,
Property Address: 14 SAUNDERS STREET, SALEM, MA 01970
Policy Number: HMA0141489
Date of Loss: 8/11/2025
Notice of Loss Under M.G.L. c. 139 313
This communication shall serve as written notice Pursuant to M.G.L. c. 139,
§Insurance Company] ("Safety") has received a claim involving loss, damage or destruction to a
building or other structure at the above-reference address which my either: (1) mteet or exceed
a eed
$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, § 38, 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 have any questions regarding this notice, please feel free to contact me directly by email at
sergioalvarez@SaT tyinsurance.com or by phone at 617-951-0600 extension 1219:—
Sincerely,
Sergio Alvarez
Property Claims Adjuster
Visit us at www.safetyinsurance.com/claims for Frequently Asked Claims Questions
Safety Insurance P.O.Box 55098 Boston,MA 02205-5098 800-951-2100
Well help you manage life's storms® 00000
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