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60 WHALERS LANE UNIT 122D - CLAIM NOTICE Samuel F. McCormack Co., Inc. Insurance Adjusters and Appraisers Samuel F.McCormack CD.,IDc. ADJUSTERS AND APPRAISERS February 11, 2022 Salem City Hall Building Inspector 93 Washington Street Salem. MA 01970 RE ASSURED: Jennifer T Helmick LOSS LOCATION: 60 Whalers Lane Unit 122D, Salem, MA 01970 POLICY NO: HO10009862 TYPE OF LOSS: Ice dam DATE OF LOSS: 01/31/2022 OUR FILE NO: 22-00514 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 FEB 15 PA: f FEB 42 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 www.mccormackadjuster.com