51-53 WASHINTON SQUARE NORTH - CLAIM NOTICE P�Wmw�� Samuel F. McCormack Co. Inc.
Insurance Adjusters and Appraisers
Samuel r.McCormack Co..Inc.
ADJUSTERS AND APPRAISERS
September 8, 2021
Salem City Hall
Building Inspector
93 Washington Street
Salem. MA 01970
RE ASSURED: 51-53 Washington Sq North Condo c/o Mr. Robert Shea
LOSS LOCATION: 51-53 Washington Sq., Salem, MA 01970
POLICY NO: BP21034381
TYPE OF LOSS: Water
DATE OF LOSS: 09/02/2021
OUR FILE NO: 21-02678
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,
Steve Tasho
Adjuster
STasho@McCormackAdjuster.com
cc: Board of Health
Fire Department
� �I'# �
SEP
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.mcconnackadji.ister.com