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49-51 WARREN STREET 2-4-23 CLAIMLaMarche Associates 5 North Road, P.O. Box 250 Chelmsford, MA 01824 800-349-1525 Fax: 978-256-8590 February 8, 2023 Building Commissioner/Inspector of Buildings SALEM, MA 01970 Fire Department/Arson Squad SALEM, MA 01970 Board of Health/Board of Selectmen SALEM, MA 01970 NOTICE OF CASUALTY LOSS TO BUILDING UNDER MASSACHUSETTS GENERAL LAWS, CHAPTER 139, SECTION 3B Claim has been made involving loss, damage or destruction of the property captioned below, which may either exceed $1,000.00 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 the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss, cause of loss and LA file number. Insured:LYNAH QUEENAN HOUSE CONDOMINIUM Loss Location:49-51 WARREN ST SALEM, MA 01970 Policy Number:BP28014253 Date of Loss:02/04/2023 Cause of Loss:Freeze Up LA File Number:MA-2-42271 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. Don Staples Adjuster LaMarche Associates, Inc. - 800-349-1525Page 1 of 1