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58 WEATHERLY DRIVE 5-22-23 CLAIM 1100 Crown Colony Drive P.O.Box 699195 .A�R B E L L A� Quincy,MA 02269-9952 617.328.2800 INSURANCE GROUP arbella.com May 24, 2023 RECEIVED MAY 3 0 2023 SALEM HEALTH DEPARTMENT CITY OF SALEM SALEM CITY HALL BOARD OF HEALTH 93 WASHINGTON STREET SALEM, MA 01970 Claim Number: 034359555 Company Name: Arbella Protection Insurance Company Date of Loss: 05/22/2023 Insured: ALISSA GOODSTEIN Property Location: 58 WEATHERLY DR#58, 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, Sarah Monaco Claim Service Specialist Property Claim Office 800-272-3552 ext. 7323 Fax 617-773-4760