5 CRESCENT DRIVE 10-20-25 CLAIM RECEIVED
1100 Crown Colony Drive
P.O.Box 699195
OCT 2 7 2025
Quincy,MA 02269-9952
ARBELLA BOAR CITY DD O OF 617.328.2800
MSIYAANCe GROJ" GI arbella.com
F HEALTH H
October 22, 2025
SALEM HEALTH DEPARTMENT
SALEM CITY HALL
93 WASHINGTON STREET
SALEM, MA 01970
Claim Number: 034568817
Company Name: Arbella Protection Insurance Company
Date of Loss: 10/20/2025
Insured: RENEE MELENDEZ
Property Location: 5 CRESCENT 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,
NEW Property
Enter Employee Type of the Current Adjus
Property Claim Office
617-328-2800
Fax 617-773-4760