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7 CARPENTER STREET 2-5-23 CLAIM RECEIVE® FEB 13 2023 1100 Crown Colony Drive 41 P.O.Box 699195 't Cr Y OF SALEM Quincy,MA 02269-9952 ARBEi BOARD OF HEALTH 617.328.2800 arbella.com February 8, 2023 SALEM HEALTH DEPARTMENT SALEM CITY HALL 93 WASHINGTON STREET SALEM, MA 01970 Claim Number: 034332965 Company Name: Arbella Indemnity Insurance Company Date of Loss: 02/05/2023 Insured: PATRICIA MCCOSCO Property Location: 7 CARPENTER STREET UNIT 1, 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 3B 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, Douglas McGuirk Claim Service Specialist Property Claim Office 800-272-3552 ext. 2454 Fax 617-773-4760