5 Vale Street Claim Notice CONCORD GROUP 4 Bouton Street I Concord NH 03301
® INSURANCE (p)800.552.3380 1 (f)603.224.2614
R MEMBER OF THE AUTO-OWNERS INSURANCE GROUP' Con co rdG ro u p I n su ra nce.co m
Town of Salem City Hall
93 Washington Street
Salem. MA 01970
Insured: Dale Magliola & Tassie Andersen
Loss Location: 5 Vale Street Salem, 'M.A 01970
Cowpativ: The Concord Group Ins. Companies
Policv No. 1371604
Date of Loss: 06/13/2022
Claim Number: 0030044091
Type of Loss: Property Damage
Dear Sir or N4adam:
A claim has been made involving logs. damage. or destruction of the above captioned property. which
may either exceed S1.000.00 or cause "Mass. Gen. Laws. Chapter 1-43. Section 6 to be applicable. If any'
notice under"yiass. Gen. Laws. Chapter 139. Section 313" is:appropriate. please direct it to the writer and
include a reference to the captioned insured. location. policy number. dare of loss. and file or claim
number.
Claim has been nmde in,OlVing loss, damage or,destruction of the above-captioned property, which
may exceed S1,000. If any notice under Massachusetts General Lases, Chapter 175, Section 97A is
appropriate, please dire(!It to the attention of this writer and include a reference to the above-
captioned insured, location, policy number, date of loss and claim number.
If you have any questions. please let me IMOW.
Sincerely.
f5 EN 11'21
Marc Marquis. AIC
Propert`:Adjuster