INS LOSS (10/12/2020) LTR The Commerce Insurance Companysm
MAPFRE Citation Insurance Company
NSU RAN CE� 11 Gore Road,Webster,Massachusetts 01570
I508.949.1500 I www.ma pf rei n s u ra nce.com
October 13, 2020
BUILDING COMMISSIONER or Board of Health or
INSPECTOR OF BUILDINGS Board of Selectmen
TOWN/CITY HALL Town/City Hall
SALEM MA 01970
RE: Our Tns„red: (ITOVANNT rHTST ETT?!T OPALTF A GHT.CLE'T FI
Property Address: 1 ELM AVE
Policy#: BHQBRN
Date of Loss: 10/12/2020
File#: TRYW 19-RRRNR5
Claim has been made involving loss, damage, or destruction of the above captioned
property which may exceed $1,000, or cause Massachusetts General Laws, Chapter 143,
Section 6 to be applicable.
If any notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate,
please direct it to my attention. Please reference the above captioned insured, location,
policy number, date of loss, and file number on any correspondence.
CHRISTINA GAUVIN Telephone: (508)949-1500 Ext: 15922
Claim Representative I, Property Toll Free: 1-800-221-1605, Ext: 15922
On this date, I cause copies of this notice to be sent to the persons indicated above, at the
address above, by first class mail.
October 13, 2020
CIC 254 (Rev. 4/95) MAIL CGI