12 DUNDEE STREET_CLAIM Samuel F. McCormack Co., Inc.
Insurance Adjusters and Appraisers
Samuel F.ntcoRnRck�.,Inc.
ADJUSTERS AND APPRAISERS
May 1, 2023
Salem City Hall
Building Inspector
93 Washington Street
Salem, MA 01970
RE ASSURED: Candy R Derderian
LOSS LOCATION: 12 Dundee St, Salem, MA 01970
POLICY NO: HP12332417
TYPE OF LOSS: Water
DATE OF LOSS: 01/24/2023
OUR FILE NO: 23-01453
To Whom It May Concern:
Claim has been made involving loss, damage or destruction of the above-captioned property, 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 this writer and include a reference to the above-
captioned insured, location, policy number, date of loss and claim or file number.
Thank you for your anticipated cooperation.
Very truly yours,
Edward Bennett
Adjuster
efb@mccormackadjuster.com
cc: Board of Health
Fire Department
42 Holbrook Avenue, Braintree,MA 02184 1-800-972-5399(781)843-1222 Fax(781)849-8191
125 Waterhouse Road, Bourne,MA 02532(508)403-2600 Fax(508)403-2602
w v.mccormackadjuster.com