4 D HART WAY 27D_ 2.27.24_ CLAIM AM
TRAVELERS)
CLAIM PROFESSIONAL
ccegelka@travelers.com
City of Salem
Building Inspector
120 Washington Street Salem, MA 01970
Claim Number
IXE3142
February 27,2024
Dear City of Salem, Date of loss
To: Board of Selectmen February 23,2024
Building Commissioner
Inspector of Buildings
Board of Health
A claim has been made involving loss,damage or destruction of the above —
captioned property which may either exceed$1,000 or cause Massachusetts Loss location
General Laws Chapter 143 Section 6 to be applicable. If any notice under
Massachusetts General Laws Chapter 139 Section 313 is appropriate,please direct 4D HART WAY 27D
it to my attention and include a reference to our insured,the policy number,the SALEM MA 01970
claim/file number,the date of loss,and the location.
Questions? Insured name:
Underwriting THETRAVELERS
If you have any questions,please contact us. Company: HOMEANDMARINE
INSURANCE
On this date,I caused copies of this notice to be sent to the persons named above COMPANY
at-tkeaddresses indicated above by first class mail.
Signature Date
P0062 7/21
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