24 Weatherly Drive 2-4-18 claim Adjusters' Collaborative, Inc.
P.O. Box 297. Wakefield, MA 01880
HP2674946 781-245-5882 • FAX 781-245-6099
E-MAIL: rgonnam33@comcast.net
February 7, 2018 RECEIVE®
Board of Health or Board of Selectmen FEB 13 2018
City of Salem CITY OF SALEM
120 Washington Street—4t" Floor BOARD OF HEALTH
Salem, MA 01970
NOTIFICATION UNDER M.G.L. c. 139, Sec 3B
RE : Merrimack Mutual Fire Insurance Company
Insured : Elizabeth Cassidy
Policy No. : HP2674946
Date of Loss : 2/4/18
Type of Loss : 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 24 Weatherly Drive — Unit#2, 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 3B, to my
attention within the time provided under that statute.
Thank you for your attention.
Yours very truly,
ADJUSTERS' COLLABORATIVE, INC.
Robert C. Gonna
Adjuster
Copy to : Merrimack Mutual Fire Ins. Co.