2-4 SMITH STREET 2-3-26 CLAIM RECEIVED
1100 Crown Colony Drive
FEB 0 9 2026 P.O.Box 699195
2269-9952
IE L L,�: Quincy,MA 6107.328 2800
CITY OF SALEM
MSURANCZ GROUP BOARD OF HEALTH arbella.com
February 4, 2026
SALEM HEALTH DEPARTMENT
SALEM CITY HALL
93 WASHINGTON STREET
SALEM, MA 01970
Claim Number: 034591947
Company Name: Arbella Mutual Insurance Company
Date of Loss: 02/03/2026
Insured: GREGORY REVILL
Property Location: 2-4 SMITH STREET, 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