11 SOUTH MASON STREET 1-10-24 CLAIM 1100 Crown Colony Drive
P.O.Box 699195
�� � � � Quincy,MA 02269-9952
617.328.2800
€auda ► racai arbella.com
January 12, 2024 RECEIVED
JAN 19 2024
SALEM HEALTH DEPARTMENT CITY OF SALEM
SALEM CITY HALL BOARD OF HEALTH
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: 1.1 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