422 LAFAYETTE STREET - BUILDING INSPECTION 422 ]Lafayette .Street
Amica Mutual Insurance Company GREATER BOSTON OFFICE
Amica Life Insurance Company 45 William Street,Suite 200
Wellesley,Massachusetts 02181-4009
(781) 237-3100
Toll Free 1-888-7o-AmICA
Fax: (781) 4319899
Web Site:www.amica.com
July 14, 1998
I Salem Town Hall
Attn: Bldg. Dept.
93 Washington Street
Salem, MA 01970
I
9
4 File Number: F01199810811D
Date of Loss: June 1, 1998
Owner/Insured: Jeffrey James Rougvie
Street: 422 Lafayette Street
7 Town: Salem
Type of Loss: Water
I
Gentlemen:
Please be advised that we insure the above named
individual(s) . A claim has been made for Damage to Real Property
' and as the insurer, we are presently in the process of adjusting
j the loss.
We are mandated to comply with Massachusetts General Laws,
Chapter 139 and as such, if there are any present liens on the
above property, please notify us within 10 days of receipt of
this letter. If we do not hear from you, we will be under no
obligation to pay you any portion of this claim.
Very truly yours,
aura Ann Palermo
Claims Department
Amica Mutual Insurance Company
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Corporate Office: Lincoln,Rhode Island