27 HERBERT ST_ 11.4.23_ CLAIM W. Springfield, MA Pittsfield, MA
(413)781-2897 # (888) 881-4598
Quincy, MA(617)479-2619 Worcester, MA� (888)881-4598
(508)M MA 3 'x Cape Cod&Islands
8) 758-666633
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(888)881 4598 Hartford, CT
BUTLER (888)81-4 98
Building Commissioner or ar • Board of Health or
Inspector of Buildings Board of Select
City of Salem City of Sale
120 Washington Street 120 Was* gton Street
3rd Floor 4th F or
Salem, MA 01970 Salem, MA 01970
Attention: Records Attention: Records
COMPANY: Certain Underwriters at Lloyd's, London c/o Quaker Special Risk
POLICY NUMBER: QM2343976
CLAIM NUMBER: N/A
INSURED: Nancy Corral
LOSS LOCATION: 27 Herbert Street, Salem, MA
DATE OF LOSS: 11/04/2023
DESCRIPTION: Wind& Water
OUR FILE NUMBER: P23-13523
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, or cause Massachusetts General Law, Chapter 143, Section 6, to be
applicable. If any notice under Massachusetts General Law, Chapter 139, Section 3B, is appropriate,
please direct it to the attention of this writer and include a reference to the captioned insured,
location,policy number, company claim number, date of loss, and claim or file number.
Sincerely,
John Schillizzi
Claims Adjuster
P—(978) 818-5453
F—617-470-1740
JohnS@georgebutieradjusters.com
On this date, I caused copies of this notice to be sent to the persons named above at the address
indicated above, by first class mail.
Secretary
December 1, 2023
209 Park Avenue, West Springfield, MA 01089