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4 CLARK AVENUE 3-7-25 CLAIM RECEIVED 1100 Crown Colony Drive MAR 17 2025 P.O.Box 699195 L & Quincy,MA 02269-9952 CITY OF SALEM 617.328.2800 INSUAANd CROUP BOARD OF HEALTH arbella.com March 11, 2025 SALEM HEALTH DEPARTMENT SALEM CITY HALL 93 WASHINGTON STREET SALEM, MA 01970 Claim Number: 034517668 Company Name: Arbella Mutual Insurance Company Date of Loss: 03/07/2025 Insured: ANNE DIXON Property Location: 4 CLARK AVENUE, 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