51 BROAD ST UNIT 1_ LOSS CLAIM 10.31.23 TRAVELERS. 3.
CLAIM PROFESSIONAL
City of Salem . : .
79-3442
Building Inspector
120 Washington Street
Salem, MA 01970
Claim Number
IXE0501
November 1,2023
Dear City of Salem, Date of loss
To: Board of Selectmen October31,2023
Building Commissioner
Inspector of Buildings
Board of Health ,� m
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 3B is appropriate,please direct 51 BROAD ST 1
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 TRAVELERS
Company: PERSONAL
If you have any questions,please contact us. INSURANCE
On this date, I caused copies of this notice to be sentto the persons named above COMPANY
at the addresses indicated above by first class mail.
Signature Date
P00627121
M
3010700315900707E CG FCM E3303