16 SCENIC AVENUE 2-4-23 CLAIM RECEIVED
p1 FEB 13 2023 1100 Crown Colony Drive
P.O. Box 699195
CITY O SALEM
HEALThi Quincy,MA 02269-9952
ARBELLA BOARD OF
617.328.2800
INSURANCE WrtOjP arbella.com
February 7, 2023
SALEM HEALTH DEPARTMENT
SALEM CITY HALL
93 WASHINGTON STREET
SALEM, MA 01970
Claim Number: 034333100
Company Name: Arbella Mutual Insurance Company
Date of Loss: 02/04/2023
Insured: JANE NDEGWA
Property Location: 16 SCENIC AVE, 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,
Jenny Ellis
Claim Technical Specialist
Property Claim Office
800-272-3552 ext. 2265
Fax 617-773-4760