12.5-14 DANIELS STREET 5-30-26 CLAIM INDEPENDENT RECEIVED
CLAIMS SERVICE, INC . AUG 182026
Service Integrity • Experience CITY OFSALEM
Notice of Casualty Loss to Building BOARD OF HEALTH
Under Massachusetts General Laws, Chapter 139, Section 3B
August 13, 2026
Salem, MA Building Inspector
1 Salem Green
Salem, MA 01970
Salem,MA Board of Health
9 North Street
Salem, MA 01970
INSURED: Daniels Wharf Condominium
ADDRESS: 14 Daniels St Unit 5 , Salem ,MA 01970
LOCATION OF LOSS: 12 1/2 -14 Daniel St, Salem ,MA 01970
COMPANY: Vermont Mutual Insurance
POLICY#: BP28025962
CLAIM#: 26-102118
DATE OF LOSS: 05/30/2026
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,
INDEPENDENT CLAIMS SERVICE, INC.
22 Water Street • Westborough,MA 01 581 • 508.366.8535 • FAX 508.366.091 7 • www.icsclaims.com