331 LAFAYETTE ST_ CLAIM NOTICE 4.8.24 w
TRAVELERSJ
CLAIM PROFESSIONAL
Call(603)204-0874
Town of Salem building inspector
120 Washington Street
Salem, MA 01970
Claim Number
FVA6531
L
April 12,2024
Dear Town of Salem building inspector, Date of loss
To: Board of Selectmen April 8,2024
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 331 LAFAYETTE ST
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 FIDELITY AND
Company: GUARANTY
If you have any questions,please contact us. INSURANCE
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
LI-=
P00627121
NN
W10700 M013160CG FCT012/1W