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35 HANCOCK STREET, #3, 7-14-25 CLAIM 1100 Crown Colony Drive P.O.Box 699195 Quincy,MA 02269-9952 ARBELLA617.328.2800 1u5U1R NerL 'dPt0u0 arbella.com July 16, 2025 SALEM HEALTH DEPARTMENT SALEM CITY HALL 93 WASHINGTON STREET SALEM, MA 01970 Claim Number: 034547329 Company Name: Arbella Mutual Insurance Company Date of Loss: 07/14/2025 Insured: KRISTEN HOMAN Property Location: 35 HANCOCK STREET#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. Fax 617-773 4760 Fax RCEIVED JUL 2 2 2025 B CITYOARpO OF SA fiN-H