5 MALME AVE_ CLAIM 5-24-25 w
TRAVELERSJ
CLAIM PROFESSIONAL
Call(781)402-9270
City of Salem
Building Inspector
120 Washington Street
Salem, MA 01970
VIXE8
umber
May 27,2025
Dear City of Salem, Date of loss
To: Board of Selectmen May 24,2025
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 3B is appropriate,please direct 5 MALM AVE
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: COLLINS
BOLLAND
Underwriting Travelers Personal
If you have any questions,please contact us. Company: Insurance
On this date, I caused copies of this notice to be sent to the persons named above Company
at addresses indicated above by first class mail. _ _-
Signature Date
P0062 7/21
M
80107 008027013142 CGEFCT01 25148