17 BENTLEY STREET - CLAIM NOTICE 7.7.21 INDEPENDENT
CLAIMS SERVICE, INC.
Service • Integrity • Experience
Notice of Casualty Loss to Building
Under Massachusetts General Laws, Chapter 139, Section 3B
July 7, 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: Sean McCrea
ADDRESS: 17 Bentley Street, Salem,MA 01970
LOCATION OF LOSS: 17 Bentley Street, Salem,MA 01970, US
COMPANY: MAPFRE Insurance
POLICY#: BHKTVZ
CLAIM#: 21-88750
DATE OF LOSS: 07/04/2021
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.
P � � P! _+
JUL
22 Water Street • Westborough, MA 01581 • 508.366.8535 • FAX 508.366.091 7 • www.icsclaims.com