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45 MEMORIAL DRIVE 5-1-25 CLAIM 1100 Crown Colony Drive P.O.Box 699195 A R B E L L Ag Quincy,MA 02269-9952 617.328.2800 INSURANCE GROUP arbella.com August 22, 2025 RECEIVED AUG 2 7 2025 SALEM HEALTH DEPARTMENT SALEM CITY HALL CITY OF SALEM 93 WASHINGTON STREET BOARD OF HEALTH SALEM, MA 01970 Claim Number: 034555941 Company Name: Arbella Mutual Insurance Company Date of Loss: 05/01/2025 Insured: BRADFORD SMITH Property Location: 45 MEMORIAL DR, 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 617-328-2454 Fax 617-773-4760