11 PRESTON ROAD - CLAIM NOTICE NATIONAL G E N E RAL.
an Allstate company
PO Box 1623•Winston-Salem,NC 27102-1623
March 31 2022
INSPECTOR OF BUILDINGS - SALEM
93 WASHINGTON ST
BLD: CITY HALL
SALEM, MA 01970
RE: Claim Number: 220169219
Date of Loss: March 29,2022
Named Insured: Eliseo And Esthela Rodriguez
Policy Number: 2011427948
Loss Property: 11 preston Rd 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 3B 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
If you are emailing me a claim-specific communication, please send it to CLAIMS@NGIC.COM with the claim number in the subject
line.Thank you.
AN P '_F I'M2.00
APR
157623363-MA-01/20/2016