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8 RIVERBANK ROAD 2-4-23 CLAIM RECEIVED 1100 Crown Colony Drive FEB 13 2023 P.O.Box 699195 Quincy,MA 02269-9952 ARDELLA CITY OF SALEM 617.328.2800 INSURANCE GROUP BOARD OF HEALTH arbella.com February 8, 2023 SALEM HEALTH DEPARTMENT SALEM CITY HALL 93 WASHINGTON STREET SALEM, MA 01970 Claim Number: 034333393 Company Name: Arbella Protection Insurance Company Date of Loss: 02/04/2023 Insured: LINDA GUTIERREZ Property Location: 8 RIVERBANK RD, 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, Jenny Ellis Claim Technical Specialist Property Claim Office 800-272-3552 ext. 2265 Fax 617-773-4760