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INS LOSS 12/24/2020 The Commerce Insurance Company' MAPFRE Citation Insurance Company' 11 Gore Road,Webster,Massachusetts 01570 INSURANCE' 508.949.1500 www.mapfreinsurance.com December 28, 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 Insured: CYNTHIA CAMILLO - Property Address: 53 WEATHERLY DR Policy#: BGQVPP Date of Loss: 12/24/2020 File#: TVWW32-RVPTY9 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.- December 28, 2020 CIC 254 (Rev.4/95) MAIL CG1