331 LAFAYETTE ST_ LOSS CLAIM 11.28.23 w
TRAVELERSCLAIM PROFESSIONAL
CITY OF SALEM
BUILDING INSPECTOR
120 Washington St
Salem, MA 01970
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Claim Number
DH D8292
November 29,2023
Dear CITY OF SALEM, Date Of loss
To: Board of Selectmen November28,2023
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 36 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
P00627/21
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C01070p899B 01 0 CGEFCT0123