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32 PARK STREET - CLAIM NOTICE LaMarche Associates 5 North Road, P.O. Box 250 Chelmsford, MA 01824 800-349-1525 Fax: 978-256-8590 September 15, 2021 Building Commissioner/Inspector of Buildings Salem, MA 02760 Fire Department/Arson Squad Salem, MA 02760 ' Board of Health/Board of Selectmen Salem, MA 02760 NOTICE OF CASUALTY LOSS TO BUILDING UNDER MASSACHUSE17S 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: Gregory Asset Holdings, LLC Loss Location: 32 Park Street Salem, MA 02760 Policy Number: B0207647 Date of Loss: 08/22/2021 Cause of Loss: Water LA File Number: MA-2-39943 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 SEE :06 SP LaMarche Associates,Inc.-800-349-1525 Page 1 of 1