26 JACKSON STREET - CLAIM NOTICE ® The Commerce Insurance Companysm
MAPFRE Citation Insurance Company'"'
11 Gore Road,Webster,Massachusetts 01570
INSURANCE" 508.949.1500 1 www.ma pfrei nsurance.com
March 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: DIANE"l TACHE-BENY uE/GREGORY BENY'uE
Property Address: 26 JACKSON ST
Policy#: BGQGHM
Date of Loss: 03/14/2021
File#: TXPY06-RXMHJ8
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.
VICTORIA GIAMPIETRO Telephone: (508)949-1500 Ext: 15062
Claim Representative I, Property Toll Free: 1-800-221-1605, Ext: 15062
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.
March 25, 2021
CIC 254 (Rev.4/95) MAIL VC1