57 WARREN SY UNIT 3_ CLAIM 2.4.23 Y F.RMO ��J Te ■VAL/ ':�Ek.6ONT 1✓UTUAL INSURANCE COPAPLN}
���V NORT!-ERN SECURITY INSURANCE COMPANY INC
INSURANCE GROUP
GRAMTE 11UTUAL INSURANCE COMPAN}
February 8, 2023
City of Salem
Building Commissioner
120 Washington Street
Salem, MA 01970
Please distribute to each of these departments, to comply with the reporting requirements of MGL
Chapter 139, Section 3B and MGL Chapter 143 Section 6.
TO: [X] Building Commissioner or Inspector of Buildings
[X] Board of Health or Board of Selectmen
[X] Fire Department
Insured: TRACE CONDOMINIUMS TRUST
Property Address: 57 WARREN ST, 3 UNIT CONDO, SALEM„ MA 01970-3181
Claim Number: B0014360
Policy Number: BP28019280
Date of Loss: February 4, 2023
Claim has been made involving loss, damage or destruction of the above captioned property, which
may either exceed $1,000.00 or cause Mass. General Laws, Chapter 143, Section 6 to be applicable.
If any notice under MGL, Chapter 139, Section 3B is appropriate, please direct it to the attention of
this writer and include a reference to the captioned insured, location, policy number, date of loss and
file number. 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.
Sincerely,
DINELEY CLAIMS SERVICES, INC.
Travis Epley
Sr Adjuster
(877) 302-0203 x1252
teRlgy@ in 1 ydl msservice nm
STABLE PREDICTABLE COMPETENT PARTNER
89 State Street, P0130,% 188, Monti)eher, Vr 05601-0188 . 800451.5000 Verman till Lit ualx0ril