3D HALSEY WAY_ NOTICE OF LOSS 6-2-25 w.
7RAVELERSJ
CLAIM PROFESSIONAL
Call(781)402-9270
City of Salem
Building Inspector
120 Washington Street
Salem, MA 01970
Claim Number
16DI667
June13,2025
U -
Dear City of Salem, Date of loss
To: Board of selectmen 1 June 10,2025
Building Commissioner
Inspector of Buildings
Board of Health �n
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 3D HALSEY WAY
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: KATHLEEN
MOYNIHAN
Underwriting The Travelers
If you have any questions,please contact us. Company: Home And Marine
Insurance
On this date,I caused copies of this notice to be sent to the persons named above Company
at the addresses indicated above by first class mail.
Signature Date
P0062 7/21
W.
C0107 WWN 010 CGEFCT01251fi5