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5 CRESCENT DRIVE_ NOTICE OF LOSS 10-20-25 1100 Crown Colony Drive P.O.Box 699195 A R B E L LA Quincy,MA 60 .328.2802 617.328.2800 INSURANCE GROUP arbella.com October 22, 2025 SALEM BUILDING COMMISSIONER 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 OCT 27 Am10:52 '25 OCT 27