25 BRIDGE STREET 7-9-21 CLAIM RECEIVED
INDEPENDENT JUL 19 2021
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
July 13,2021
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: Evelyn Palardy
ADDRESS: 25 Bridge St, Salem,MA 01970-4106
LOCATION OF LOSS: 25 Bridge St, Salem,MA 01970-4106, US
COMPANY: MAPFRE Insurance
POLICY#: 4690094914
CLAIM#: 21-88848
DATE OF LOSS: 07/09/2021
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