6 10 Union Street - Claim Notice 030222 Samuel F. McCormack Co., Inc.
Insurance Adjusters and Appraisers
Samuel F.McCormack Co.,la.
MUSTERS AND APPMIeeRe
March 2, 2022
Salem City Hall
Building Inspector
93 Washington Street
Salem. MA 01970
RE ASSURED: Union Square Association c/o Shayna Garber
LOSS LOCATION: 6-10 Union Street, Salem, MA 01970
POLICY NO: BP21034314
TYPE OF LOSS: Water
DATE OF LOSS: 09/16/2021
OUR FILE NO: 22-00693
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 36 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,
17104V xl NM,
Edward Bennett
Adjuster
efb@mccormackadjuster.com
cc: Board of Health
Fire Department
'J,A;1
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
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