12 Admirals Lane - Claim Notice 21422 TRAVELERS J 336
THE STANDARD FIRE INSURANCE COMPANY
P.O. Box 430
Buffalo, NY 14240-0430
02/14/2022
City of Salem Building Inspector
120 Washington Street
Salem MA 01970
Insured: Kenneth-Fine-Ella Kenneth-Fine-Ella-Fine
Claim Number: IAW9015
Policy Number: OHF636-600840553-636-1
Date of Loss: 01/28/2022
Loss Location: 12 Admirals Ln 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 (978)763-5874 or email me at
MSERAF]2@travelers.com.
Sincerely,
Murphy Serafino
Claim Professional
(978)763-5874 Ext. 9787635874
Fax: (877)786-5584
-E-mail: 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
�
-marts, .- r�iy:_,�
FEB
P0062 F3162C1 S22046000336 00001 N