5 TANGLEWOOD LANE 12-23-25 CLAIM RECEIVED
1100 Crown Colony Drive
P.O.Box 699195
JAN 15 2026 Quincy,MA 02269-9952
, ,R E L L� 617.328.2800
CITY OF SALEM arbella.com
rR. ee BOARD OFHEALTH
January 12, 2026
SALEM HEALTH DEPARTMENT
SALEM CITY HALL
93 WASHINGTON STREET
SALEM, MA 01970
Claim Number: 034586260
Company Name: Arbella Mutual Insurance Company
Date of Loss: 12/23/2025
Insured: ELLEN SILVERMAN
Property Location: 5 TANGLEWOOD LANE, 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,
Melissa Ross
Claim Service Specialist
Property Claim Office
617-328-2489
Fax 617-773-4760