12 Sylvan Street 3-2-18 claim RECEIVED
UNION MUTUAL
Lim J#j?uvzjj ,tcefeo MAR 1 92018
March 9,2018 CITY OF SALEM
BOARD OF HEALTH
Health Department
120 Washington St.4th Floor
Salem,MA 01970
RE: Insured: ROY L SHELDON and GAYLE I SHELDON
Loss Location: 12 Sylvan St,Salem,MA 01970-2328
Policy#: HOP0095389
Date of Loss: 03/02/2018
Type of Loss: Windstorm-All Other
Claim#: CLM-00037026
To Whom It May Concern:
A claim has been made involving loss,damage or destruction of the property captioned above,which may either
exceed$1,000.00 or cause Massachusetts General Laws,Chapter 143,Section 6 to be applicable.If any notice
under Massachusetts General Laws,Chapter 139,Section 313 is appropriate,please direct it to the attention of the
writer and include a reference to the captioned insured,location,policy number,date of loss,cause of loss and
claim number.
I can be reached at 1-800-671-8550 should you have any questions or wish to discuss further.
Sincerely,
Shawn Kimon
Claims Representative
(800)671-8550 ext. 574
skimon@unionmutual.com
Fax: 802-229-2119
Union Mutual Fire Insurance Company 139 State street,F.O.Box 158
.� � Community Mutual Insurance Company Montpelier,VP 05601
{ M, Eastern Mutual Insurance Company 800-300-5261
O New England Guaranty Insurance Company,Inc. www.unionmutual.com