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6 HARBOR VIEW TERRACE_ DAMAGE LOSS CLAIM 2-14-2025 K]S INDEPENDENT CLAIMS SERVICE, INC. Service • Integrity • Experience Notice of Casualty Loss to Building Under Massachusetts General Laws,Chapter 139, Section 3B February 27, 2025 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: Carol A Kent ADDRESS: 6 Harbor View Terrace, Salem,MA 01970 LOCATION OF LOSS: 6 Harbor View Terrace, Salem,MA 01970 COMPANY: Vermont Mutual Insurance POLICY#: HP00016946 CLAIM#: 25-98476 DATE OF LOSS: 02/14/2025 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. 22 Water Street • Westborough.MA 01 581 • 508.366.8535 FAX 508.366.0917 www.icsclaims.com