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289 ESSEX STREET - CLAIM NOTICE .A TRAVELERS J 475 THE STANDARD FIRE INSURANCE COMPANY P.O. Box 430 Buffalo, NY 14240-0430 02/03/2022 City of Salem Building Inspector 120 Washington Street Salem MA 01970 Insured: Patricia-A Fox Claim Number: IAW8781 Policy Number: OA0882-993470278-636-1 Date of Loss: 04/01/2021 Loss Location: 289 Essex St 402-403 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 3B 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 (978)763-5874 or email me at MSERAFI2@travelers.com. Sincerely, Murphy Serafino Claim Professional (978)763-5874 Ext. 9787635874 Fax: (877)786-5584 Email: MSERAFI2@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 FEB 10 PM4'24 FEB P0062 F3162C1S22035000475 00001 N