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Home My WebLink AboutInsurance Letter - Correspondence - 125 OLD VILLAGE LANE 3/1/2026 PWpop O Safety Insurance AUTO • HOME • BUSINESS March 1, 2026 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: LHMA06D689 Insured(s): JOYCE CHAMPION Property Address: 125 OLDE VILLAGE LANE, NORTH ANDOVER, MA 01845 Policy Number: HMA0483580 Date of Loss: 2/26/2026 Notice of Loss Under M.G.L. c. 139, § 3B 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, § 313, if the city or town intends to initiate proceedings designed to perfect a lien under Section 3B, 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 isabellesnow@safetyinsurance.com or by phone at 617-951-0600 extension 5342. Sincerely, Isabelle Snow Senior Auto 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 Well help you manage life's stormsO 0 0 0 ® 00 010 c139 173