15 BEACON ST_1.13.24_CLAIM 1100 Crown Colony Drive
A R B E L L A P.O. Box 699195
INSURANCE GROUP Quincy,MA 02269-9952
617.328.2800
arbella.com
January 15, 2024
SALEM BUILDING COMMISSIONER
SALEM CITY HALL
93 WASHINGTON STREET
SALEM, MA 01970
Claim Number. 034418598
Company Name: Arbella Protection Insurance Company
Date of Loss: 01/13/2024
Insured: PAUL TOMCHYSITYN
Property Location: 15 BEACON ST, SALEM, MA
To Whom It May Concern:
A claim has been made involving loss, damage, or destruction of the above captioned property,
may either exceed $11000 or cause Massachusetts General Laws, Chapter 143, Section 6, to be
applicable. p P rty, which
If any notice under Massachusetts General Law, Chapter 139, Section 3B is a
to the attention of the writer. Please include a reference to the captioned insured, location, date d loss
and claim number. insured,
location,
please direct it
Thank you for your assistance.
Best regards, -- --
Jenny Ellis
Claim Technical Specialist
Property Claim Office
800-272-3552 ext. 2265
Fax 617-773-4760