18 Weatherly Drive, Unit #1 1-7-18 claim Adjusters' Collaborative, Inc.
P.O. Box 297. Wakefield, MA 01880
HP2156626 781-245-5882 • FAX 781-245-6099
E-MAIL: rgonnam33@comcast.net
January 9, 2018 RECEIVED
Board of Health or Board of Selectmen JAN 16 2018
City of Salem CITY OF SALEM
120 Washington Street—41" Floor BOARD OF HEALTH
Salem, MA 01970
NOTIFICATION UNDER M.G.L. c. 139, Sec 3B
RE : Merrimack Mutual Fire Insurance Company
Insured : Mark F. Murphy
Policy No. : HP2156626
Date of Loss : 1/7/18
Type of Loss : Freeze-up/water damage
Dear Sir or Madam :
Adjusters' Collaborative, Inc. is the independent adjuster retained by Merrimack Mutual
Fire Insurance Company to investigate and adjust the captioned claim for damage to a
building or other structure at the property at 18 Weatherly Drive— Unit#1, Salem, MA.
Pursuant to M.G.L. c. 139, Sec 3B, Merrimack Mutual hereby notifies you that payment
of$1,000.00 or more may be made in connection with the captioned claim. If the City of
Salem intends to initiate proceedings under M.G.L. c. Sec 3A; c. 143, Sec 9, or c. 111,
Sec 127B, please forward the notice required under M.G.L. c. 129, Sec 36, to my
attention within the time provided under that statute.
Thank you for your attention.
Yours very truly,
ADJUSTERS' COLLABORATIVE, INC.
Robert C. Gonnam
Adjuster
Copy to : Merrimack Mutual Fire Ins. Co.