64 Bridge Street - Claim Notice UNION MUTUAL
Live life well protected
June 13,2022
Building Inspector
Board of Health
93 Washington Street
Salem, MA 01970
MASSACHUSETTS GENERAL LAWS,
CHAPTER 139 LETTER
RE: Insured: Sixty Four Bridge,LLC
Loss Location: 64 Bridge Street
Salem, MA 01970
Policy Number: BOP0141957
Date of Loss: 6/10/2022
Type of Loss: Fire
Claim #: CLM58748
Dear Sir or Madam:
A claim has been made involving loss, damage or destruction of the property captioned above,
which may either exceed$1,000.00 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 the attention of the writer and include a reference to the captioned
insured, location,policy number date of loss, cause of loss and claim number.
On this date, I caused copies of this notice to be sent to the persons named above at the addresses
indicated above by first class mail.
Sincerely,
Jeff Staples
Regional General Adjuster
1-800-671-8550 ext. 616
jstaples@uniomiiutual.com
`- Union Mutual Fire Insurance Company 139 State Street,P.O.Box 1583"
Community Mutual Insurance Company Montpelier,VT 056o1 G\
New England Guaranty Insurance Company,Inc. 800-300-5261 ill
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