11 Hathorne Street- Claim Notice MAPFRE I INSURANCE"
May 23, 2022
Sent Via First Class Mail
Building Commissioner or
Inspector of Buildings
City/Town Hall
Salem , MA 01970
Board of Heath or
Board of Selectmen
City /Town Hall -�
Salem , MA 01970
RE: PROPERTY DAMAGE TO 11 HATHORNE ST SALEM
Named Insured: 11 Hathorne Street Condominium Association
Claim Number: 80080322000170-1
Date of Loss: 5/6/2022
Policy Number: 8008030015738
Policy Period: 1/6/2022-1/6/2023
Building Damages Possibly Exceeding $1,000.00
Notice Pursuant to MGL Chapter 139, Section 36
Dear Sir or Madam:
11 Hathorne Street Condominium Association has presented a claim involving loss, damage or
destruction of the above captioned property which may exceed $1,000.00 in total damages 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 said notice to my attention, referencing the above captioned insured, location, policy
number, date of loss and file number on any correspondence.
Please contact the undersigned with any questions at 1-800-221-1605, ext. 15312
Sincerely,
MAPFRE INSURANCE COMPANY
Daniel Wisniewski �` "� '
in�+.r
Claim Specialist, Property
MAIL: 11 Gore Rd, Webster, MA 01570
MA Homeowner Property Damage Notice(Rev.09/20)