112 NORTH STREET 11-26-24 CLAIM ICS INDEPENDENT RECEIVED
CLAIMS SERVICE, INC. DEC 04.2024
Service Integrity • Experience CITY OFSALEM
Notice of Casualty Loss to Building BOARD OF HEALTH
Under Massachusetts General Laws, Chapter 139, Section 3B
November 26,2024
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: Pauline And Georgois Markos
ADDRESS: 51 Princeton Street,Danvers, MA 01923
LOCATION OF LOSS: 112 North Street, Salem,MA 01970
COMPANY: Union Mutual of Vermont Companies
POLICY#: BOP0156385-08
CLAIM#: 24-97816
DATE OF LOSS: 11/26/2024
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 313 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