INS LOSS LTR 10/19/2019 The Commerce Insurance Company"'
MAPFRE Citation Insurance Company
11 Gore Road,Webster,Massachusetts 01570
INSURANCE 508.949.1500 I www.mapfreinsurance.com
May 19, 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: JANE E BEAULIEU LFE TLNAA'i — —
Property Address: 8 CLAREMONT RD
Policy#: BBVSRL
Date of Loss: 10/19/2019
File#: TKXC34-RKMVYO
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.
MARINA JANCZYK Telephone: (508)949-1500 Ext: 15905
Claim Representative I, Property Toll Free: 1-800-221-1605, Ext: 15905
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.
May 19, 2020
CIC 254 (Rev.4/95) MAIL MJ2