15 BEACON STREET 1-13-24 CLAIM 1100 Crown Colony Drive
P.O.Box 699195
A R B E L L�.�gg Quincy,MA 02269-9952
617.328.2800
INSURANCE GROUP arbella.com
January 15, 2024 RECEIVED
JAN 22 2024
SALEM HEALTH DEPARTMENT
SALEM CITY HALL CITY OF SALEM
93 WASHINGTON STREET BOARD OF HEALTH
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, 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,
Jenny Ellis
Claim Technical Specialist
Property Claim Office
800-272-3552 ext. 2265
Fax 617-773-4760