330 LAFAYETTE ST_ LOSS CLAIM 2.4.23 INDEPENDENT
CLAIMS SERVICE, INC.
Service • Integrity • Experience
Notice of Casualty Loss to Building
Under Massachusetts General Laws, Chapter 139, Section 3B
February 8, 2023
Salem, MA Building Inspector
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 3B 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.
FEB 14 HMO:1-7
r=r
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22 Water Street • Westborough. MAO1581 • 508.366,8535 • FAX 508.366.0917 • www.icsclaims.com