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85 BRIDGE STREET - CLAIM NOTICE LaMarche Associates 5 North Road, P.O. Box 250 Chelmsford, MA 01824 800-349-1525 Fax: 978-256-8590 September 7, 2021 Building Commissioner/Inspector of Buildings Salem, MA 01970 Fire Department/Arson Squad Salem, MA 01970 Board of Health/Board of Selectmen Salem, MA 01970 NOTICE OF CASUALTY LOSS TO BUILDING UNDER MASSACHUSETTS GENERAL LAWS, CHAPTER 139,_SECTION 3B Claim has been made involving loss, damage or destruction of the property captioned below, 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 the writer and include a reference to the captioned insured, location, policy number, date of loss, cause of loss and LA file number. Insured: The Residence at Bridge Condo Association Loss Location: 85 Bridge Street Salem, MA 01970 Policy Number: BO207492 Date of Loss: 09/01/2021 Cause of Loss: Water LA File Number: MA-2-39942 SEP 13 F-m2:37 SEP On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by first class mail. Connor Dooley Adjuster LaMarche Associates,Inc.-800-349-1525 Page 1 of 1