129 ESSEX ST UNIT 11_ CLAIM 7.1.23 ,w
TRAVELERS)
CLAIM PROFESSIONAL
City of Salem
Building Inspector
120 Washington St.
Salem, MA 01970
Claim Number
IXE2634
January 22,2024
Dear City of Salem, Date of loss
To: Board of selectmen July 1,2023
Building Commissioner
Inspector of Buildings
Board of Health
A claim has been made involving loss,damage or destruction of the above 0
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 3B is appropriate,please direct 129 ESSEX STREET UNIT 11
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 THESTANDARD
you have an Company: FIRE INSURANCE
If y y questions,please contact us. COMPANY
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.
Signature Date
P0O62 7/21
N
M10700095800B CG=0129