107 MASON STREET Unit 2_ Claim 5-23-25 INDEPENDENT
CLAIMS SERVICE, INC.
Service • Integrity • Experience
Notice of Casualty Loss to Building
Under Massachusetts General Laws, Chapter 139, Section 3B
May 29, 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: Ramon Hidalgo
ADDRESS: 107 Mason St Unit 2, Salem, MA 01970
LOCATION OF LOSS: 107 Mason St, Salem,MA 01970
COMPANY: Vermont Mutual Insurance
POLICY#: HP00218119
CLAIM#: 25-99052
DATE OF LOSS: 05/23/2025
TYPE OF LOSS: Wind
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