5 COLUMBUS SQUARE 9-8-23 CLAIM2 AMA Toll Free:(800)435-7764
Fax:(877)217-1389
FARMERS Email:myclaim@farmersinsurance.com
INSURANCE Please include your claim#on any correspondence
National Document Center
PO.Box 268994
September 29, 2023 Oklahoma City,OK 73126-8994
SALEM BOARD OF HEALTH SALEM FIRE DEPARTMENT
98 WASHINGTON ST 48 LAFAYETTE STREET
SALEM MA 01970-3506 SALEM MA 01970
CITY OF SALEM INSPECTIONAL SERVICES RECEIVED
120 WASHINGTON STREET, 3RD FLOOR
SALEM MA 01970
OCT 1,0.2023
RE: Insured: Mark Keene CITY OF SALEM
Claim Number: 5025746242-1-1 BOARD OF HEALTH
Policy Number: 6130458530
Loss Date: 09/08/2023
Location of Loss: 5 Columbus Sq Apt 2, Salem, MA
Subject: Important Claim Information
Dear Town Officials:
This letter serves as 10-day notice that a claim has been reported involving loss, damage or destruction of this
property in the section listed above. If any notice under Massachusetts General Laws, Chapter 139, Section 3b
is appropriate, please notify us via certified mail and reference the insured's name, location, policy number,loss
date and claim number.
If you have any questions, please contact me at(781) 761-3217.
Thank you.
Taylor Kinton
Claims Fld Claims Rep Prop
(781) 761-3217
Farmers Property And Casualty Insurance Company
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Email communications are preferred and should be sent to myclaim@farmersinsurance.com. If hard copies of
o communications are required,they should be sent to our National Document Center at P.O. Box 268994,Oklahoma City,
OK 73126-8994.
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