9 FORTUNE WAY - CLAIM NOTICE PROGRESSIVE HOME CLAIMS R494GREf fIlli
PO BOX 5009 r
ANTIOCH,TN 37011-5009 I-IoNE
November 19,2021
SALEM CITY HALL
93 WASHINGTON STREET
SALEM,MA 01970-6856
Claim Number:988143-212229
Policy Number: MAA74684
Date of Loss: November 14,2021
Date reported: November 16,2021
Underwriting Company:American Strategic Insurance Corp
Insured Location: 9 FORTUNE WAY,SALEM,MA 01970-6856
To Whom It May Concern:
Salem, MA 01970
City of Salem:
This letter is in response to the claim that was submitted to American Strategic Insurance Corp on the above
referenced policy and loss address for the peril of Water.
The damage to the above-mentioned property from the peril of Water may exceed $1,000.00 and/or makes the
building a health or safety hazard of dangerous or unsafe for occupancy.
In compliance with Massachusetts Statute Chapter 139: Section 36 and/or Chapter 143: Section 6,we are providing
10 days'written notice prior to the issuance of payment.
Please confirm receipt of this letter via email,fax or mail.I can also be reached by phone at the number listed below.
Sincerely,
IT
#W RQA9 Z
Ryan Rodriguez
Field Adjuster
Oily Rymer
Claims Adjuster W-49 Aml :57
Office:(866)274-5677 ext. 1340 NOV
Fax 866-840-1905
hrymer@asicorp.org
Phone: (866)274-5677 • Fax:(866)274-3299•www.AmericanStrategic.com
The ASI group is an affiliate of The Progressive Corporation and is rated A(Excellent)by A.M. Best Co.
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