5 NORTH PINE STREET, UNIT 2, 4-20-25 CLAIM _JCS INDEPENDENT RECEIVED
CLAIMS SERVICE, INC. APR 282025
Service - Integrity • Experience CITY OFSALEM
Notice of Casualty Loss to Building BOARD OF HEALTH
Under Massachusetts General Laws, Chapter 139, Section 311
April 21,2025
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: Widler Condominium Trust C/O Michael Greencart& Susan Milstein
ADDRESS: 5 North Pine Street Unit 2, Salem ,MA 01970
LOCATION OF LOSS: 5 North Pine Street, Salem ,MA 01970
COMPANY: Vermont Mutual Insurance
POLICY#: BP11035428
CLAIM#: 25-98814
DATE OF LOSS: 04/20/2025
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 508.366.091 7 - www.icsclaims.com