11 OAKLAND STREET - CLAIM NOTICE ® The Commerce Insurance Company"'
MAPFRE Citation Insurance Company5A9
INSURANCE 11 Gore Road,Webster,Massachusetts 01570
508.949.1500 1 www.mapfrei nsurance.com
May 24, 2021
BUILDING COMMISSIONER or Board of Health or
INSPECTOR OF BUILDINGS Board of Selectmen
TOWN/CITY HALL Town/City Hall
SALEM MA 01970
MAY 27 Am8:54
RE: Our Insured: CALEB CALDER IMY
Property Address: 11 OAKLAND ST
Policy#: BGWLLQ
Date of Loss: 03/29/2021
File#: TYPH64-RYMAH4
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.
CHRISTINE CHAPULIS Telephone: (508)949-1500 Ext: 15536
CLAIM REP, CAT RESPONSE Toll Free: 1-800-221-1605,Ext:15536
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.
May 24, 2021
CIC 254 (Rev.4/95) MAIL M42