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11 S MASON ST UNIT 3_1.10.24_ CLAIM 1100 Crown Colony Drive AR B E T Tla A P.O. Box 69195 .La L Quincy,MA 02269-9952 INSU*ANCE:anoup. 617.328.2800 arbella.com January 12, 2024 SALEM BUILDING COMMISSIONER SALEM CITY HALL 93 WASHINGTON STREET SALEM, MA 01970 Claim Number: 034417983 Company Name: Arbella Indemnity Insurance Company Date of Loss: 01/10/2024 Insured: KEVIN FURLONG Property Location: 11 S MASON ST UNIT 3, 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