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11 SYMONDS STREET - CLAIM NOTICE Samuel F. McCormack Co., Inc. Insurance Adjusters and Appraisers Samuel F.McCormack Co.,Ine. ADJUSTERS AND APPRAISERS November 2, 2021 Salem City Hall Building Inspector 93 Washington Street Salem. MA 01970 RE ASSURED: 11 Symonds St Condo c/o Eric Papetti LOSS LOCATION: 11 Symonds St, Salem, MA 01970 POLICY NO: 7018430 TYPE OF LOSS: Wind DATE OF LOSS: 1 012 9/2 0 2 1 OUR FILE NO: 21-03914 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 3113 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 NOV 42 Holbrook Avenue, Braintree,MA 02184 1-800-972-5399(781)843-1222 Fax(781)849-8191 125 Waterhouse Road,Bourne,MA 02532(508)403-2600 Fax(508)403-2602 www.mccornzackadjuster.com