3 Devereaux Ave_ Claim 2-16-2025 Samuel F. McCormack Co., Inc.
Insurance Adjusters and Appraisers
3n,1 F.Ikrm,d G.,h.
•ueSTln All uraneu
February 18, 2025
Salem City Hall
Building Inspector
93 Washington Street
Salem, MA 01970
RE ASSURED: Ellen Dubinsky
LOSS LOCATION: 3 Devereaux Ave, Salem, MA 01970
POLICY NO: HP00147634
TYPE OF LOSS: Water
DATE OF LOSS: 02/16/2025
OUR FILE NO: 25-00266
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
41 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 - -
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