330 LAFAYETTE STREET 2-4-23 CLAIM RECEIVED
K]SINDEPENDENT
CLAIMS SERVICE, INC. FEB 14 2023
CITY OF SALEM
Service Integrity • Experience BOARD OF HEALTH
Notice of Casualty Loss to Building
Under Massachusetts General Laws, Chapter 139, Section 3B
February 8, 2023
Salem, MA Building Inspector
1 Salem Green
Salem, MA 01970
Salem,MA Board of Health
9 North Street
Salem,MA 01970
Salem,MA Fire Department
48 Lafayette Street
Salem,MA 01970
INSURED: 330 Lafayette Condo Trust C/O Kerry & Tom Neenan
ADDRESS: 330 Lafayette St Salem Salem, Salem,MA 01970
LOCATION OF LOSS: 330 Lafayette St Salem Salem, Salem,MA 01970,US
COMPANY: MAPFRE Insurance
POLICY#: 8008030012846
CLAIM#: 23-93139
DATE OF LOSS: 02/04/2023
TYPE OF LOSS: Water
Dear Sir or Madam:
Independent Claims Service is the insurance adjusting firm hired by the above referenced client to handle the
captioned loss on behalf of their insured.
A 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
notice under Massachusetts General Laws, Chapter 139, Section 313 is appropriate, please bring it to our
attention, and include a reference of the captioned insured: Location, policy number, and/or date of loss.
Sincerely,
INDEPENDENT CLAIMS SERVICE,INC.
22 Water Street • Westborough.MA 01 581 • 508.366.8535 • FAX 508.366.0917 • www.icsclaims.com