2 HAZEL STREET 12-18-25 CLAIM RECEIVED
K]S" INDEPENDENT APR 21 2026
CLAIMS SERVICE, INC.
CITY OF SALEM
Service Integrity Experience BOARD OF HEALTH
Notice of Casualty Loss to Building
Under Massachusetts General Laws, Chapter 139, Section 3B
April 16, 2026
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: Janette Condominium Trust C/O Dynamic Property Management
ADDRESS: 203 Washington St STE 316, Salem ,MA 01970
LOCATION OF LOSS: 25 Roslyn St and 2 Hazel St, Salem, MA 01970
COMPANY: Vermont Mutual Insurance
POLICY#: BP11040053
CLAIM#: 26-101347
DATE OF LOSS: 12/18/2025
TYPE OF LOSS: Water
Dear Sir or Madam:
Independent Claims Service is the}assurance 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