WATER DAMAGE, INS LOSS LTR 05/28/2020 C.Te)
Butterworth & O''More, Inc.
ADJUSTERS/APPRAISERS
FOR INSURANCE COMPANIES ONLY
P.O.BOX 8294
SALEM,MA 01971-8294
TEL. (978)741-5731
FAX (978)740-9109
claims@butterworthotoole.com
05/04/2020
FORM OF NOTICE OF CASUALTY LOSS TO BUILDING
UNDER MASS. GEN. LAWS, CH. 139, SEC. 3B
TO:
Building Inspector & Salem Fire Department & Health Inspector
City Hall 48 Layfayette Street 120 Washington Street 4th
floor
Salem, MA 01970 Salem, MA 01970 Salem, MA 01970
RE: Insured: Beverlie McSwiggin
Address: 2-4 Devereaux Street
Salem, MA 01970
Policy No.: 2556680
Loss of: 05/28/2020 -Water/Back Up
File or Claim No.: 05-0339
Claim has been made involving loss,damage or destruction of the above captioned property,which may either exceed
$1,000.00 or cause Mass.Gen.Laws,Chapter 143,Section 6 to be applicable. If any notice under Mass.Gen. Laws,
Ch. 139,Sec.3B is appropriate, please direct it to the attention of the writer and include a reference to the captioned
insured, location, policy number, date of loss and claim or file number.
If no reply is received from your office within ten days,we will assume you have no liens of any type against this
property and we will recommend to the insuring company that this claim is paid.
John Foley
:i
Member of
National Association of Independent Insurance Adjusters
United Services Automobile Association NOTICE OF PROPERTY
USAA® DAMAGE TO
01771 .SFPRD. JSS1910737154 . O 1 . 01 . 183 STRUCTURES
BUILDING COMMISSIONER
93 WASHINGTON ST.
SALEM, MA 01970-3527
Review Notice of Property Damage to Structures
May 1, 2020
Dear Sir or Madam,
This correspondence serves as notice to the Building Commissioner that the following claim has been reported:
USAA policyholder: Richard H Nielen
Claim number: 001759344-021
Date of loss: April 30, 2020
Property address: 10 FORRESTER ST UNIT 2
Loss location: Salem, Massachusetts
You may direct any notice of intent to perfect a lien against the insurance proceeds within 10 days of the date on this
letter using the contact information listed below. Please include the claim number above on all correspondence.
Email: Send an email or attachments to the claim file at
41cg9zcdjmbh@claims.usaa.com. Do not send private
information via this channel.
pal Address: USAA Claims Department
P.O. Box 33490
San Antonio, TX 78265
ilith • Fax: 1-800-531-8669
Sincerely,
Anthony A Fauci
Property - CVA Unit 7
United Services Automobile Association
001759344-DM-01771-021-4417-34 130872-0318
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