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  • Cambridge Mutual Fire Insurance Subrogee of Sherrif Showunmi vs. Rodriguez CS, Inc. Doing Business as Rodriguez Construction Services Other Negligence - Personal Injury / Property Damage document preview
  • Cambridge Mutual Fire Insurance Subrogee of Sherrif Showunmi vs. Rodriguez CS, Inc. Doing Business as Rodriguez Construction Services Other Negligence - Personal Injury / Property Damage document preview
  • Cambridge Mutual Fire Insurance Subrogee of Sherrif Showunmi vs. Rodriguez CS, Inc. Doing Business as Rodriguez Construction Services Other Negligence - Personal Injury / Property Damage document preview
  • Cambridge Mutual Fire Insurance Subrogee of Sherrif Showunmi vs. Rodriguez CS, Inc. Doing Business as Rodriguez Construction Services Other Negligence - Personal Injury / Property Damage document preview
  • Cambridge Mutual Fire Insurance Subrogee of Sherrif Showunmi vs. Rodriguez CS, Inc. Doing Business as Rodriguez Construction Services Other Negligence - Personal Injury / Property Damage document preview
  • Cambridge Mutual Fire Insurance Subrogee of Sherrif Showunmi vs. Rodriguez CS, Inc. Doing Business as Rodriguez Construction Services Other Negligence - Personal Injury / Property Damage document preview
  • Cambridge Mutual Fire Insurance Subrogee of Sherrif Showunmi vs. Rodriguez CS, Inc. Doing Business as Rodriguez Construction Services Other Negligence - Personal Injury / Property Damage document preview
  • Cambridge Mutual Fire Insurance Subrogee of Sherrif Showunmi vs. Rodriguez CS, Inc. Doing Business as Rodriguez Construction Services Other Negligence - Personal Injury / Property Damage document preview
						
                                

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Date Filed 1/18/2024 4:19 PM. ‘Superior Court - Essex Docket Number 2377CV00985, COMMONWEALTH OF MAS: SACHPSETTS ESSEX, SS SUPERIOR COURT DOCKET NO.: 2377CV00985 CAMBRIDGE MUTUAL FIRE INSURANCE COMPANY, as subrogee of Sherrif Showunmi, Plaintiff, Vv. RODRIGUEZ CS, INC., doing business as Rodriguez Construction Services, Defendant. APPLICATION FOR ENTRY OF DEFAULT JUDGMENT AND ASSESSMENT OF DAMAGES PURSUANT TO MASS. R. CIV. P. 55(b)(2) Pursuant to Mass. R. Civ. P. 55(b)(2), the Plaintiff Cambridge Mutual Fire Insurance Company, hereby requests that this Court, after hearing, enter default judgment against the Defendant Rodriguez CS, Inc. and that damages be assessed in the amount of $174,837.61. The Plaintiff states the following in support of its application: 1 The Defendant, Rodriguez CS, Inc., is a domestic corporation having a registered agent, Geysiane Rodriguez, 280 Wood Street, Hopkinton, ‘Massachusetts 01748, listed with the Secretary of the Commonwealth of Massachusetts. (See attached Business Entity Summary). 2. The Defendant is a corporation and not an individual and therefore no investigation of military service is required. (See Attached Military Affidavit). 3 The Defendant’s registered agent, Geysiane Rodriguez, was served in-hand by a | Deputy Sheriff of Middlesex County with a copy of the summons, together with a copy of the Plaintiff's complaint in this matter on October 31, 2023. (ee attached Proof of Service). CLM10796 Date Filed 1/18/2024 4:19 PM ‘Superior Court - Essex Docket Number 2377CV00985 4. The Defendant failed to file an answer, ple: , or otherwise defend as to the Plaintiff's complaint, or serve a copy of any answer or other|defense that they might have had, upon Plaintiff or its attorney of record. 5 As a result, an Order of Default was entered in this case against the Defendant on December 19, 2023. (See attached Order of Default). 6 The total amount due to the Plaintiff, exclusive of costs to be computed by the Clerk, in this claim is $174,837.61. (See attached Statement of Damages and Affidavit of Joseph DiBlasi). WHEREFORE, the Plaintiff respectfully makes application that this Court enter judgment by default and assess damages in the amount of $174,837.61 against the Defendant. Plaintiff, CAMBRIDGE MUTUAL FIRE INSURANCE COMPANY, By Its Attorney, Crowley & McCarthy, P.C. 220 Broadway, Suite 405 Lynnfield, MA 01940 (781) 842-7308 sdildine@cmpclaw.com CLM10796 Date Filed 1/18/2024 4:19 PM Superior Court - Essex Docket Number 2377CV00985 Secretary of the Commonwealth of Massachusetts William Francis Galvin aes een Business Entity Summary ID Number: 001337057 Request certificate Summary for: RODRIGUEZ CS INC The exact name of the Domestic Profit Corporation: RODRIGUEZ CS INC Entity type: Domestic Profit Corporation Identification Number: 001337057 Date of Organization in Massachusetts: Date of Revival: 07-17-2018 ‘ Last date certain: Current Fiscal Month/Day: 12/31 Previous Fiscal Month/Day: 12/31 The location of the Principal Office: Address: 280 WOOD STREET City or town, State, Zip code, HOPKINTON, MA 01748 USA Country: The name and address of the Registered Agent: Name GEYSIANE CAMPAGNANI RODRIGUEZ Address: 280 WOOD STREET City or town, State, Zip code, HOPKINTON; MA 01748 USA Country: The Officers and Directors of the Corporation: Title individual Name Address PRESIDENT GEYSIANE CAMPAGNANI 280 WOOD STREET HOPKINTON, MA RODRIGUEZ 01748 USA TREASURER GEYSIANE CAMPAGNANI 280 WOOD STREET HOPKINTON, MA RODRIGUEZ 01748 USA SECRETARY KEVIN A RODRIGUEZ 280 WOOD STREET HOPKINTON, MA 01748 USA VICE GEYSIANE CAMPAGNANI 280 WOOD STREET HOPKINTON, MA PRESIDENT RODRIGUEZ 01748 USA DIRECTOR GEYSIANE CAMPAGNANI 280 WOOD STREET HOPKINTON, MA RODRIGUEZ 01748 USA 1 Business entity stock is publicly traded: oO 11 The total number of shares and the par value, if any, of each class of stock which this business entity is authorized to issue: Date Filed 1/18/2024 4:19 PM ‘Superior Court- Essex Docket Number 2377C,V00985. Total Authorized Total issued and outstanding Class of Stock Par value per share No. of shares Total par No. of shares alue CNP $0 1,000 $0| 1,000 ( © Confidential OMerger Oo Consent Data Allowed Manufacturing View filings for this business entity: ALL FILINGS Annual Report Application For Revival Articles of Amendment Articles of Charter Surrender ings Comments or notes associated with this business entity: Date Filed 1/18/2024 4:19 PM Superior Court - Essex Doc st Number 2377CV00985 “ CIVIL DOCKET NO. Trial Court of Massachusetis i Summons The Superior Court 2311 CVO0985 CASE NAME, “ow as t-brscoll, ClerK. Clerk of Courts of Sekt Woedial Fie. Insurance Come:aN, BS SHOE Ec Showin Piaintit(s) Sesser SS Co ADDRESS: County @ Coward [Rade 08,0. dole Pecr vez, Coretnsohory Mensa Pes 5b Tedera\ Greer Sail Cerne. Salers, MA OGIO Defendant(s) ~~ “Rodequez CSre. a[o[= THIS SUMMONS IS DIRECTED TO Kaaicg jucz2. fenerchon aga Detendants name) sent os You being sued, The:Plaintiff(s) named above has started a lawsuit against you. A copy of the Plaintiffs Complaint filed aga yal ait ched t —_ is Summons and the original Gomplaint has beetrfiled in the Essex, Supeaior Court. YOU-MUST ACT PROMPTLY TO PROTECT YOUR RIGHTS. 4. You mustrespend this lawsuit in writing within 20 days. ‘hot respond, the Court may decide the tase against you and award the Plaintiff everything asked for in the Complaint. You will also {ae the opportunity to tell your side of the story. You must respond to this lawsuit in writing even if you expect ta resaive this matter with the Plaintiff. f you need more time to respond, you may request an extension of time in writing from the Court. 2. Howte Respond. To respond to this lawsuit, you must file. a written response. with the Court and mail a copy fo the. Plaintiffs attorney (or the Plaintiff, if unrepresented). You can do this by: a) Filing your signed original response with the Clerk's Office for Civil Business, Essex Superior Court Bo Federal Greet —laddres )_by mail. in person. or electronically through penne THROORIO the web portal www.eFileMA.com if the Complaint was e-filed through that,portal; AND a b) Delivering or mailingeaey of oe response to the Plaintiffs attorriey/Piaintiff at the following address: “OH we, Zoe. Cc. ADSAWALY Sk Uy Pe be MA O% HO 3, What to Include in Your Response. An "Answer" is one type of response to a Complaint, Your Answer must state whether you agree or disagree with the fact(s) alleged in each paragraph of the Complaint. Some defenses, called affirmative e defenses; must be stated-if your Answer.or | you may lose your right to use them in Court. If you have any-claims against the Plaintiff (referred to-as "eounterclaims’) that are based on the same facts or transaction described in the Complaint, then you must iricludé those claims in your Answer. Otherwise, you may lase your right to sue the Plaintiff about anything related to this lawsuit. If you want to have your case heard by a jury, you must specifically request a jury trial in your Court rio more than 10 days after sending your Answer. Date Filed 1/18/2024 4:19 PM Superior Ni Court - Essex 377 vO! nb 3. (cont.) Another way to respond to a Complaint is by filing a “Motion to Dismiss,” if you believe that the Complaint is legally invalid or legally insufficient. A Motion to Dismiss must be based on one of the legal deficiencies} or reasons listed under Rule 12 of the Massachusetts Rules of Civil Procedure. If you are filing a Motion to Dismiss, you must follow the filing rules for "Civil Motions in Superior Court," available at: Wwww.mass.gov/law-library/massachusetts-superior-court-rules . 4. Legal Assistance. You may wish to get legal help from a lawyer. If you cannot get legal help, some basic information for ople who represent themselves is available at www.mass.gov/courts/selfhelp. 5. Required Information on All Filings. 4 ~~ The "Civil Docket No." appearing at the top of this notice is the case number assigned to this case a tlmust —. appezr.on the ¥ front of your Answer or Motion to Dismiss. You should refer to yourself as the "Defendant." Witness Hon. Heidi E. Brieger , Chief Justice on ~~ ff (Si eal) |— Clerk Thomas H. Driscoll, Jr. ‘ Note: The docket number assigned to the original Complaint by the Clerk should be stated on this Summons before itis served on the Defendant(s). ! PROOF OF SERVICE OF PROCESS mM Middlesex Sheriff's Office « 40 Brick Kiln Rd, Chelmsford, MA 01824 ¢ 617-547-1171 Middlesex, ss. : November 6, 2023 ' hereby certify and return that on 10/31/2023 at 3:10 PM I served a trut é and attested copy of the SUM IMONS, COMPLAINT, CIVIL ACTION COVER SHEET, TRACKING ORDER in this action in the following manner: To wit, by delivering in hand to GEYSIANE RODRIGUEZ, agent, person in charge at the time of se! rvice for RODRIGUEZ CS INC DBA RODRIGUEZ CONSTRUCTION SERVICES, at 280 WOOD ST HOPKINTON, 1, MA 01748 B . Fees: : Attest ($5.00) BiE jasic Service Fee ($30.00) Postage and Handling ($3.00) Travel ($19.52) Conveyance ($4.50) Total: $62.02 BOd Oe Deputy Sheriff Date: rev. 7/2022 Date Filed 1/18/2024 4:19 PM Superior Court - Essex Docket Number 2377CV00985. DOCKET NUMBER Trial Court of Massachusetts DEFAULT ORDER (Mass. R. Civ. P. 55(a)) The Superior Court 2377CV00985 CASENAME Cambridge Mutual Fire Insurance Subrogee of Sherrif Showunmi Thomas H. Driscoll, Jr., Clerk of Courts vs. Rodriguez CS, Inc. Doing Business as,Rodriguez Construction ‘Essex County Services TO: COURT NAME & ADDRESS: File Copy Essex County Superior Court - Salem J, Michael Ruane Judicial Center 56 Federal Street Salem, MA 01970 The party(s), named below, having failed to plead or otherwise defend the case as required by the rules of civil procedure, and plaintiff having shown that fact by affidavit or otherwise, is(are) hereby defaulted pursuant to Mass. R. Civ. P. 55(a). Rodriguez CS, Inc. Doing Business as Rodriguez Construction Services The plaintiff shall file one of the following, if not already entered: 1. in accordance with Mass. R. Civ. P. 55(b)2 and subject to Mass. R. Civ. P. 54(b) and 55(b)4, file a motion for an assessment of damages and default judgment by, 01/18/2024. or 2. in accordance with Mass.R.Civ.P. 55(b)(1) (for a sum certain or for a sum which can by computation be made certain) and subject to Mass.R. Civ. P. 54(b) and 55(b)4, file a request for default judgment by, 01/18/2024. DATE ISSUED CLERK OF COURTS ASSISTANT CLERK t SESSION PHONEW 12/19/2023 Thomas H. Driscoll, Jr., Clerk of Court (978)825-4800 x ‘Dalai Printed: 1248-2025 189808 SoveTH ONO Date Filed 1/18/2024 4:19 PM Superior Court- Essex Docket Number 2377CV00985. COMMONWEALTH OF MASSACHUSETTS ESSEX, SS SUPERIOR COURT DOCKET NO.: 2377CV00985 CAMBRIDGE MUTUAL FIRE INSURANCE COMPANY, as subrogee of Sherrif Showunmi, Plaintiff, Vv. RODRIGUEZ CS, INC., doing business as Rodriguez Construction Services, Defendant. AFFIDAVIT OF MR, JOSEPH DIBLASI J, Joseph DiBlasi, am a Claims Examiner for Cambridge Mutual Fire Insurance Company (“Cambridge Mutual”). I haveknowledge of the facts stated herein based upon my employment as set forth above, my actions and involvement with respect to the claim, and my review of the claim file maintained by Cambridge Mutual with respect to this matter. I hereby state and depose the following: 1 Cambridge Mutual paid -$174,837.61 to, or on behalf of, its insured Sheriff Showunmi, on a claim arising from water damage that occurred on July 18, 2022, to the property located at 4 Colonial Way, Shrewsbury, Massachusetts. 2, Attached as Exhibit J are true and accurate copies of payments made in the total amount of $172, 337.61 (exclusive of the insured’s $2,500 deductible). 3 Attached as Exhibit 2 are true and accurate copies of the following documents in support of the claim for property damage and living expenses in the total amount of $174,83 161: a. Dwelling Repair Estimate - $116,660.64 Date Filed 1/18/2024 4:19 PM ‘Superior Court - Essex. Docket Number 2377CV00985 Sylvia Electrical Contracting Proposal - $3,375.00 ! c, Contents Inventory - $30,630.73 d, Hampton Hotel Statement - $7,332.80 €. Apartment Lease - $14,572.66 f. Food Receipt Worksheet - $2,265.98 8 Damage photographs Signed under the penalties of perjury this 17" day of January 2024. LE Jeséph DiB laims Examiner me futual Fire Insurance Company STATE OF MASSACHUSETTS COUNTY OF ESSEX Gdisk (naltren _ EDITH R CRABTREE Edith R Crabtree S vw NOTARY PUBLIC Commonwealth of Massachusetts My Commission Expires 9/30/2027 Date Filed 1/18/2024 4:19 PM ‘Superior Court - Essex. Docket Number 2377CV00985 EXHIBIT 1 Date Filed 1/18/2024 4:19 PM Superior Court - Essex Docket Number 2377CV00985 MAIL TO: SHERIFF SHOWUNMI 4 COLONIAL WAY SHREWSBURY MA 01545-1523 CHECK DATE: 09/13/2022 CHECK #: 8014677 CHECK AMOUNT: $50,000.00 CLAIMANT: SHERIFF SHOWUNMI AND NAVY FEDERAL CREDIT UNION DATE OF LOSS: 07/25/2022 FOR: BUILDING ADVANCE POLICY #: HP14031224 CARRIER: CAMBRIDGE MUTUAL FIRE INSURANCE COMPANY AGENT #: 5276 AGENT NAME: SALEM FIVE INSURANCE SERVICES LL AGENT ADDRESS 445 MAIN STREET SUITE 1 WOBURN MA 01801-4297 PHONE: 781 933-3100 DETACH HERE 112 09/13/2022 8014677 AMOUNT PAY FIFTY THOUSAND AND 00/100 DOLLARS $50,000.00 PAY TO SHERIFF SHOWUNMI AND NAVY THE FEDERAL CREDIT UNION CLM-00010796 BGA ORDER OF BANK OF AMERICA AUTHORIZED SIGNATURE 80 LE 77 | Date Filed 1/18/2024 4:19 PM ‘Superior Court - Essex Docket Number 2377CV00985 MAIL TO: ANDERSON ADJUSTING LLC PO BOX 718 © OLD LYME CT 06371-0718 CHECK DATE: 09/27/2022 CHECK #: 8015205 CHECK AMOUNT: $64,160.44 CLAIMANT: SHERIFF SHOWUNMI AND NAVY FEDERAL CREDIT UNION AND/OR THE SECRETARY OF DATE OF LOSS: 07/25/2022 FOR: BUILDING POLICY #: HP14031224 CARRIER: CAMBRIDGE MUTUAL FIRE INSURANCE COMPANY AGENT #: 5276 AGENT NAME: SALEM FIVE INSURANCE SERVICES LL AGENT ADDRESS 445 MAIN STREET SUITE 1 WOBURN MA 01801-4297 PHONE: 781 933-3100 DETACH HERE ! 112 09/27/2022 8015205 AMOUNT PAY SIXTY FOUR THOUSAND ONE HUNDRED SIXTY AND 44/100 DOLLARS _ $64,160.44 PAY TO SHERIFF SHOWUNMI AND NAVY THE FEDERAL CREDIT UNION AND/OR ‘CLM-00010796 ORDER OF THE SECRETARY OF BANK OF AMERICA AUTHORIZED SIGNATURE 80 2S 20 St j Date Filed 1/18/2024 4:19 PM Superior Court- Essex Docket Number 2377CV00985 MAIL TO: SHERIFF SHOWUNMI 4 COLONIAL WAY SHREWSBURY MA 01545-1523 CHECK DATE: 09/13/2022 CHECK #: 8014649 CHECK AMOUNT: $3,375.00 . CLAIMANT: SHERIFF SHOWUNMI & SYLVIA ELECTRICAL CONTRACTING DATE OF LOSS: 07/25/2022 FOR: BLDG POLICY #: HP14031224 CARRIER: CAMBRIDGE MUTUAL FIRE INSURANCE COMPANY AGENT #: 5276 AGENT NAME: SALEM FIVE INSURANCE SERVICES LL AGENT ADDRESS: 445 MAIN STREET SUITE 1 WOBURN MA 01801-4297 PHONE: 781 933-3100 DETACH HERE 82-153. 09/13/2022 8014649 112 AMOUNT PAY THREE THOUSAND THREE HUNDRED SEVENTY FIVE AND 00/100DOLLARS $3,375.00 { PAY TO SHERIFF SHOWUNMI & SYLVIA EMERGENCY ELECTRICAL REPAIR THE ELECTRICAL CONTRACTING ‘CLM-00010796 ORDER { OF | | ee BANK OF AMERICA L AUTHORIZED SIGNATURE O80 RLS TS | Date Filed 1/18/2024 4:19 PM Superior Court - Essex Docket Number 2377CV00985 MAIL TO: ANDERSON ADJUSTING LLC PO BOX 718 OLD LYME CT 06371-0718 CHECK DATE: 09/27/2022 CHECK #: 8015199 CHECK AMOUNT: $37,963.53 CLAIMANT: SHERIFF SHOWUNMI DATE OF LOSS 07/25/2022 FOR: CONTENTS & ALE i POLICY #: HP14031224 CARRIER: CAMBRIDGE MUTUAL FIRE INSURANCE COMPANY AGENT #: 5276 AGENT NAME. SALEM FIVE INSURANCE SERVICES LL AGENT ADDRESS 445 MAIN STREET SUITE 1 WOBURN MA 01801-4297 PHONE: 781 933-3100 DETACH HERE 112 09/27/2022 8015199 AMOUNT PAY THIRTY SEVEN THOUSAND NINE HUNDRED SIXTY THREE AND 53/100'DOLLARS $37,963.53 PAY TO SHERIFF SHOWUNMI THE CLM-00010796 ORDER OF BANK OF AMERICA AUTHORIZED SIGNATURE 804s 95: | Date Filed 1/18/2024 4:19 PM ‘Superior Court - Essex Docket Number 2377CV00985 MAIL TO: SHERIFF SHOWUNMI 4 COLONIAL WAY SHREWSBURY MA 01545-1523 CHECK DATE: 10/25/2022 CHECK #: 8016309 CHECK AMOUNT: $8,462.62 CLAIMANT: SHERIFF SHOWUNMI DATE OF LOSS: 07/25/2022 FOR: ALE POLICY #: HP14031224 CARRIER: CAMBRIDGE MUTUAL FIRE INSURANCE COMPANY AGENT #: 5276 AGENT NAME: SALEM FIVE INSURANCE SERVICES LL AGENT ADDRESS: 445 MAIN STREET SUITE 1 WOBURN MA 01801-4297 PHONE: 781 933-3100 DETACH HERE 112 10/25/2022 8016309 AMOUNT PAY EIGHT THOUSAND FOUR HUNDRED SIXTY TWO AND 62/100 DOLLARS _ $8,462.62 PAY TO SHERIFF SHOWUNMI ALE 9/5/22— 11/30/22 | | THE ‘CLM-00010796 ORDER OF 1 BANK OF AMERICA || AUTHORIZED SIGNATURE 1 i : 80 253090 '' = i | Date Filed 1/18/2024 4:19 PM Superior Court - Essex Docket Number 2377CV00985. MAIL TO: SHERIFF SHOWUNMI 4 COLONIAL WAY SHREWSBURY MA 01545-1523 CHECK DATE. 12/15/2022 CHECK #: 8018370 CHECK AMOUNT: $2,265.98 CLAIMANT: SHERIFF SHOWUNMI DATE OF LOSS 07/25/2022 FOR: ALE ‘ POLICY #: HP14031224 CARRIER: CAMBRIDGE MUTUAL FIRE INSURANCE COMPANY AGENT #: 5276 AGENT NAME: SALEM FIVE INSURANCE SERVICES LL AGENT ADDRESS: 445 MAIN STREET SUITE 1 y WOBURN MA 01801-4297 PHONE: 781 933-3100 DETACH HERE 112 12/15/2022 8018370 . AMOUNT PAY TWO THOUSAND TWO HUNDRED SIXTY FIVE AND 98/100 DOLLARS ° $2,265.98 (Bn | PAY TO SHERIFF SHOWUNMI THE CLM-00010796 ORDER OF BANK OF AMERICA AUTHORIZEDSIGNATURE 1 080 263700 a | Date Filed 1/18/2024 4:19 PM ‘Superior Court - Essex Docket Number 2377CV00985: MAIL TO: SHERIFF SHOWUNMI 4 COLONIAL WAY SHREWSBURY MA 01545-1523 CHECK DATE: 01/30/2023 CHECK #: 8020481 CHECK AMOUNT: $6,110.04 CLAIMANT: SHERIFF SHOWUNMI DATE OF LOSS: 07/25/2022 FOR: ALE POLICY #: HP14031224 CARRIER: CAMBRIDGE MUTUAL FIRE INSURANCE COMPANY AGENT #: 5276 AGENT NAME: SALEM FIVE INSURANCE SERVICES LL AGENT ADDRESS: 445 MAIN STREET SUITE 1 WOBURN MA 01801-4297 PHONE: 781 933-3100 DETACH HERE 52153. 01/30/2023 8020481 112 AMOUNT PAY SIX THOUSAND ONE HUNDRED TEN AND 04/100 DOLLARS $6,110.04 PAY TO SHERIFF SHOWUNMI THE CLM-00010796 ORDER OF BANK OF AMERICA AUTHORIZED SIGNATURE | | "80 2046 bi | Date Filed 1/18/2024 4:19 PM Superior Court - Essex Docket Number 2377CV00985 EXHIBIT 2 Date Filed 1/18/2024 4:19 PM Superior Court - Essex Docket Number 2377CV00985 Anderson Adjusting LLC P.O. Box 718 Old Lyme, CT 06371 Telephone: 860-853-8422 Fax: 860-371-3191 Insured: Sheriff Showunmi Property: 4 Colonial Way Shrewsbury, MA 01545 Home: 4 Colonial Way Shrewsbury, MA 01545 Claim Rep.: Joe DiBlasi Estimator: Mark McManus Business: (774) 766-0241 Company: Anderson Adjusting LLC E-mail: mark@andersonadjusting. com Claim Number: CLM-10796 Policy Number: 14031224 Type of Loss: Water Date Contacted: 8/2/2022 12:00 AM Date of Loss: 7/25/2022 12:00 AM Date Received: 8/2/2022 12:00 AM Date Inspected: 8/4/2022 12:00 AM Date Entered: 8/9/2922 11:21 AM Price List: MABO8X_JUL22 1 Restoration/Service/Remodel 1 Estimate: SHOWUNMI This estimate is made with no commitments to repair or guarantee payment and is expressly subject to our clients final review and approval. ‘Date Filed 1/18/2024 4:19 PM Superior Court - Essex Docket Number 2377CV00985 Anderson Adjusting LLC P.O. Box 718 Old Lyme, CT 06371 Telephone: 860-853-8422 Fax: 860-371-3191 SHOWUNMI Dwelling Basement Master Bedroom LxWxH 23' 1" x 17'3" x8" 645.33 SF Walls 398.19 SF Ceiling Q 1043.52 SF Walls & Ceiling 398.19 SF Floor 44.24 SY Flooring 80.67 LF Floor Perimeter 184.67 SF Long Wall 138.00 SF Short Wall 80.67 LF Ceil. Perimeter DESCRIPTION QUANTITY UNIT PRICE TAX RCV DEPREC. ACV 1, R&R Recessed light fixture 14.00 EA 163,30 31.08 2,317.28 (417.12) 1,900.16 2. R&R Thermostat - High grade 1.00 EA 159.68 5.19 164.87 (0.00) 164.87 3. R&R 5/8" drywall - hung only (no tape or finish) 1,043.52 SF 2.48 45.00 2,632.93 (397.19) 2,235.74 4, R&R 5/8" drywall - hung, taped, floated, ready for 1,043.52 SF 3.64 51.52 3,849.93, (640.59) 3,209.34 paint 5. R&R Acoustical/fire-safing insulation - 4" mineral 398.19 SF 1.81 24.39 745.12 (120.36) 624.76 wool 6. R&R Batt insulation - 4" - R13 - paper / foil faced 720.85 SF 1.63 36.04 1,211.03 (190.31) 1,020.72 7, R&R Interior door unit - High grade 3.00 EA 332.94 44.92 1,043.74 (192.03) 851.71 8. Door knob/lockset - Detach & reset 3.00EA 30.91 0.00 92.73 (0.00) 92.73 9. R&R Sheathing - plywood - 3/8" 796.38 SF 2.91 56.24 2,373.71 (342.54) 2,031.17 Above line item considers the two layers of 3/8" sub floor sheathing in the master bedroom to make it even with the rest of the basement flooring. 10. R&R Engineered wood flooring 398.19 SF 13.71 163.01 5,622.20 (848.09) 4774.11 11. Seal/prime then paint the walls and ceiling twice (3 1,043.52 SF 1.75 24.13 1,850.29 (370.06) 1,480.23 coats) 12. Paint door slab only - 2 coats (per side) 6.00 EA 50.65 3.85 307.75 (61.55) 246.20 13. Paint door/window trim & jamb - 2 coats (per side) 6.00EA 42.39 2.27 256.61 (51.32) 205.29 Totals: Master Bedroom 487.64 22,468.19 3,631.16 18,837.03 Master Bathroom LxWxH 11'9" x6" 0" x8! 297.33 SF Walls 80.29 SF Ceiling Q 377.63 SF Walls & Ceiling 80.29 SF Floor 8.92 SY Flooring 37.17 LF Floor Perimeter 94.00 SF Long Wall 54.67 SF Short Wall 37.17 LF Ceil. Perimeter DESCRIPTION QUANTITY UNIT PRICE TAX RCV DEPREC. ACV 14, R&R 5/8" drywall - hung only (no tape or finish) 377.63 SF 2.48 16.29 952.81 (143.74) 809.07 SHOWUNMI 9/13/2022 Page: 2 i Date Filed 1/18/2024 4:19 PM Superior Court - Essex Docket Number 2377CV00985 Anderson Adjusting LLC P.O. Box 718 Old Lyme, CT 06371 Telephone: 860-853-8422 Fax: 860-371-3191 CONTINUED - Master Bathroom DESCRIPTION QUANTITY UNIT PRICE TAX RCV DEPREC. ACV 15, R&R 5/8" drywall - hung, taped, floated, ready for 377.63 SF 3.64 18.65 1,393.22 (231.82) 1,161.40 paint 16. R&R Acoustical/fire-safing insulation - 4" mineral 80.29 SF 1.81 4.92 150.24 (24.26) 125.98 wool 17. R&R Batt insulation - 4" - R13 - paper / foil faced 228.96 SF 1.63 11.45 384.66 (60.45) 324.21 18. Seal/prime then paint the walls and ceiling twice (3 377.63 SF 1.75 8.73 669.58 (133.92) 535.66 coats) Totals: Master Bathroom 60.04 3,550.51 594,19 2,956.32 Hallway LxWxH 9' x 2! "xs" « 190.67 SF Walls 26.25 SF Ceiling 216.92 SF Walls & Ceiling 26.25 SF Floor 2.92 SY Flooring 23.83 LF Floor Perimeter 72.00 SF Long Wall 23.33 SF Short Wall