7 Hamilton Street 6-11-21 claim Agllh
Ir"Mr Safety Insurance,,, RECEIVED
AUTO•HOME.BUSINESS
JUN 21 2021
CITY OF SALEM
BOARD OF HEALTH
June 16, 2021
Building Commissioner or Inspector of Buildings
Fire Department or Arson Squad
Board of Health or Board of Selectmen
City Hall
SALEM, MA 01970
RE: Claim Number: LHMA0015BA
Insured(s): JOYCELYN J. SNELL
Property Address: 7 HAMILTON STREET UNIT #3, SALEM, MA 01970
Policy Number: HMA0349352
Date of Loss: June 11, 2021
Notice of Loss Under M.G.L. c. 139A 3113
This communication shall serve as written notice pursuant to M.G.L. c. 139, § 313 that [Safety
Insurance Company] ("Safety") has received a claim involving loss, damage or destruction to a
building or other structure at the above-reference address which may either: (1) meet or exceed
$1,000; or (2) cause the condition or the building or other structure to render M.G.L. c. 143 § 6
applicable.
In accordance with M.G.L. c. 139, § 313, if the city or town intends to initiate proceedings designed to
perfect a lien under Section 3B, M.G.L. c. 143, §9 or M.G.L. c. 111, § 127B, please notify Safety of
the same by certified mail. Kindly forward such notice to my attention, at the address indicated
above, and include with such notice a reference to the above-described insured, property address,
policy number and claim number.
If you have any questions regarding this notice, please feel free to contact me directly by email at
LisaMonette@Safetylnsurance.com or by phone at 800-951-2100 x3420.
Sincerely,
Lisa Monette
Property Claims Field Adjuster
Safety Insurance P.O. Box 55098 Boston, MA 02205-5098 800-951-2100
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