5 TANGLEWOOD LANE 12-23-22 CLAIM RECEIVED
>N 1100 Crown Colony Drive
JAN 2 6 2023 P.O. Box 699195
Quincy,MA 02269-9952
ARBIELLA CITY OF SALEM 617.328.2800
ENStiRANCE 4ROUP BOARD OF HEALTH arbella.com
January 18, 2023
SALEM HEALTH DEPARTMENT
SALEM CITY HALL
93 WASHINGTON STREET
SALEM, MA 01970
Claim Number: 034323403
Company Name: Arbella Mutual Insurance Company
Date of Loss: 12/23/2022
Insured: ELLEN SILVERMAN
Property Location: 5 TANGLEWOOD LANE, SALEM, MA
To Whom It May Concern:
A claim has been made involving loss, damage, or destruction of the above captioned property, which
may either exceed $1,000 or cause Massachusetts General Laws, Chapter 143, Section 6,to be
applicable.
If any notice under Massachusetts General Law, Chapter 139, Section 313 is appropriate, please direct it
to the attention of the writer. Please include a reference to the captioned insured, location, date of loss
and claim number.
Thank you for your assistance.
Best regards,
Karen Oliveira
Claim Service Specialist
Property Claim Office
800-272-3552 ext. 7362
Fax 617-773-4760