50 PALMER STREET 6-15-24 CLAIM INDEPENDENT
CLAIMS SERVICE, INC.
Service • Integrity • Experience
Notice of Casualty Loss to Building
Under Massachusetts General Laws, Chapter 139, Section 3B
June 21,2024
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: North Shore CDC
ADDRESS: 96 Lafayette St, Salem ,MA 01970
LOCATION OF LOSS: 50 Palmer St, Salem,MA 01970
COMPANY: Vermont Mutual Insurance
POLICY#: BP21053609
CLAIM#: 24-96887
DATE OF LOSS: 06/15/2024
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,
RECEIVED
INDEPENDENT CLAIMS SERVICE,INC.
JUN 2 5 2024
CITY OF SALEM
BCOPD OF HEALTH
22 Water Street • Westborough.MA 01 581 • 508.366.8535 9 FAX 508.366.091 7 • www.icsclaims.com