25 EAST COLLIN STREET - CLAIM NOTICE 1�r4.LJ
I;yl
National General
Auto,Home&Health Insurance
PO Box 1623•Winston-Salem,NC 27102-1623
0
March 22 2021
INSPECTOR OF BUILDINGS -SALEM
93 WASHINGTON ST
BLD: CITY HALL
SALEM, MA 01970
RE: Claim Number: 210117514
Date of Loss: August 15,2020
Named Insured: Ronald Beaudoin
Policy Number: 2003764317
Loss Property: 25 E Collins St Salem MA 01970
To whom it may concern,
A claim has been made involving loss,damage or destruction of the above-captioned property,which may either exceed$1000 or cause
Massachusetts General Laws,Chapter 143,Section 6 to be applicable.This statute addresses structures that are"unused,uninhabited
or abandoned"and may be dangerous to the community.
If any notice under Massachusetts General Laws, Chapter 139,Section 313 regarding the disbursement of insurance proceeds for loss,
damage or destruction of building or structure, is appropriate, please direct it to me.
Patrick Davis
Homeowners Field Rep
On behalf of Integon National Insurance Company
PO BOX 1623 Winston Salem, NC 27102-1623
Direct(617)729-4265•Toll Free(800)468-3466• Fax(800)924-0273
APR 6„;O-0
If you are emailing me a claim-specific communication, please send it to CLAIMS@NGIC.COM with the claim number in thpip, ject
line.Thank you.
1
157623363-MA-01/20/2016