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8-10 WILLOW AVE_ CLAIM 2.12.24 Samuel F. McCormack Co., Inc. Insurance Adjusters and Appraisers Senuel F.McCameek Co.,h. ADJUSTERS AND♦PPIAISERS February 12, 2024 Salem City Hall Building Inspector 93 Washington Street Salem, MA 01970 RE ASSURED: Willow House Condo LOSS LOCATION: 8-10 Willow Ave, Salem, MA 01970 POLICY NO: BP28020104 TYPE OF LOSS: Sewage DATE OF LOSS: 02/12/2024 OUR FILE NO: 24-00477 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 31B 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 021841-800-972-5399(781)843-1222 Fax(781)849-8191 125 Waterhouse Road,Bourne,MA 02532(508)403-2600 Fax(508)403-2602 w .mccormackadjuster.com