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2 HAWTHORNE BOULEVARD, #3, 1-26-26 CLAIM RECEIVED 1100 Crown Colony Drive P.O.Box 699195 FEB 4 4 2026 Quincy,MA 02269-9952 ARBIELLA 617.328.2800 t m.su+jmUN r-F is ko jn CITY OF SALEM arbella.com BOARD OF HEALTH January 29, 2026 SALEM HEALTH DEPARTMENT SALEM CITY HALL 93 WASHINGTON STREET SALEM, MA 01970 Claim Number: 034590471 Company Name: Arbella Mutual Insurance Company Date of Loss: 01/26/2026 Insured: MIC1 AEL SHEA Property Location: 2 HAWTHORNE BLVD #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 617-328-2454 Fax 617-773-4760