181 NORTH STREET, #110 7-30-23 CLAIM RECEIVED
1100 Crown Colony Drive
AUG 0 7 2023 P.O. Box 699195
Quincy,MA 02269-9952
ARBELLA CITY OF SALEM 617.328.2800
IN51i AN'CE GROUP BOARD OF HEALTH arbella.com
July 31, 2023
SALEM HEALTH DEPARTMENT
SALEM CITY HALL
93 WASHINGTON STREET
SALEM, MA 01970
Claim Number: 034376818
Company Name: Arbella Indemnity Insurance Company
Date of Loss: 07/30/2023
Insured: JACOB BARBATO
Property Location: 181 NORTH ST#110, 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,
Cynthia Holden-Amor
Claim Service Specialist
Property Claim Office
800-272-3552 ext.7549
Fax 617-773-4760