25 Wisteria St_ Claim notice 12.23.22 W. Springfield, MA 1 Pittsfield, MA
(413)781-2897 (888)881-4598
Quincy, MA a4; Worcester, MA
(617)479-2619 (888)881-4598
Mattapoisett, MA Cape Cod &Islands
(508)758-6633 (888)881-4598
Rhode Island � '. Hartford, CT
(888)881-4598 BUTLER (888)8ord,
Building Commissioner or Board of Health or
Inspector of Buildings Board of Selectmen
City of Salem City of Salem
120 Washington Street 120 Washington Street
3rd Floor 4th Floor
Salem, MA 01970 Salem, MA 01970
Attention: Records Attention: Records
COMPANY: Certain Underwriters at Lloyd's, London c/o Quaker Special Risk
POLICY NUMBER: QSRMA37352
CLAIM NUMBER: N/A
INSURED: 25 Wisteria St. Condo Trust
LOSS LOCATION: 25 Wisteria Street, Salem, MA
DATE OF LOSS: 12/23/2022
DESCRIPTION: Wind
OUR FILE NUMBER: P23-12845
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 313, 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
January 3, 2023
P.O. Box 1557,Mattapoisett,MA 02739