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10-2 LOVETT STREET - CLAIM NOTICE ® The Commerce Insurance Company'm MAPFRE Citation Insurance Company"' 11 Gore Road,Webster,Massachusetts 01570 INSURANCE 508.949.1500 jwww.mapfreinsurance.com August 25, 2021 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: SUSAN JULIUS/OWEN JULIUS Property Address: 10-2 LO V ETT STREET Policy#: BGZKXK Date of Loss: 08/19/2021 File#: VATC01-TAPPV 1 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. LINDA BORGESON-HAMPTON Telephone: (508)949-1500 Ext: 76717 CLAIM REP SR,PROPERTY Toll Free: 1-800-221-1605, Ext:76717 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. August 25, 2021 AUG 31 c,ii,102s55 AU CIC 254 (Rev.4/95) MAIL LB 1