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Insurance Letter - Correspondence - 96 MILLPOND 8/11/2025
WAM0911-P-1 Safety Insurance oAUTO • HOME • BUSINESS August 11, 2025 Building Commissioner or Inspector of Buildings Fire Department or Arson Squad Board of Health or Board of Selectmen City Hall NORTH ANDOVER, MA 01845 RE: Claim Number: LHMA05ED8C Insured(s): DEMETRA GRENIER Property Address: 96 MILL POND, NORTH ANDOVER, MA 01845 Policy Number: HMA0629358 Date of Loss: 8/8/2025 Notice of Loss Under M.G.L. c. 139, § 313 This communication shall serve as written notice pursuant to M.G.L. c. 139, § 3B that [Safety Insurance Company] ("Safety") has received a claim involving loss, damage or destruction to a building or other structure at the above-reference address which may either: (1) meet or exceed $1,000; or (2) cause the condition or the building or other structure to render M.G.L. c. 143 § 6 applicable. In accordance with M.G.L. c. 139, § 3B, if the city or town intends to initiate proceedings designed to perfect a lien under Section 313, M.G.L. c. 143, §9 or M.G.L. c. 111, § 127B, please notify Safety of the same by certified mail. Kindly forward such notice to my attention, at the address indicated above, and include with such notice a reference to the above-described insured, property address, policy number and claim number. If you have any questions regarding this notice, please feel free to contact me directly by email at georgelavallee@safetyinsurance.com or by phone at 617-951-0600 extension 3174. Sincerely, George Lavallee Claims Adjuster Visit us at www.safetyinsurance.com/claims for Frequently Asked Claims Questions Safety Insurance P.O.Box 55098 Boston,MA 02205-5098 800-951-2100 WeW help you manage life's storms0 © fD0 010 c1s9 35