118 WASHINGTON STREET - CLAIM NOTICE Ad4K
TRAVELERS J 381
TRAVELERS CASUALTY INSURANCE COMPANY OF AMERICA
P.O. Box 430
Buffalo, NY 14240-0430
12/21/2021
City of Salem Building Inspector Department
120 Washington Street
Salem MA 01970
Insured: Fspc
Claim Number: FLP9922
Policy Number: 680 -9J507647
Date of Loss: 11/06/2021
Loss Location: 118 Washington St Salem MA
To: Board of Selectmen
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 General Laws Chapter 143, Section 6
to be applicable. If any notice under Massachusetts General Laws Chapter 139, Section 313 is
appropriate, please direct it to my attention and include a reference to our insured, the policy
number, the claim/file number, the date of loss, and the location.
If you have any questions, please feel free to contact me at (508)209-7901 or email me at
IHERZIG@travelers.com.
Sincerely,
Claim Professional
(508)209-7901 Ext. 5082097901
Fax: (877)786-5584
Email: [HERZIG@travelers.com
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
AN 4 ,r...l 3
P0062 F3162C1S21356000381 00001 N