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17 ELM AVENUE 2-23-26 CLAIM 1100 Crown Colony Drive P.O.Box 699195 Quincy,MA 02269-9952 k IE L L 617.328.2800 Ift6U4ANCIE GROUP arbella.com March 16, 2026 RECEIVED MAR 19 2026 SALEM HEALTH DEPARTMENT SALEM CITY HALL CITY OF SALEM 93 WASHINGTON STREET BOARD OF HEALTH SALEM,MA 01970 Claim Number: 034603574 Company Name: Arbella Mutual Insurance Company Date of Loss: 02/23/2026 Insured: FRANK DE STEFANO Property Location: 17 ELM AVE, 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, Matthew Colby Claim Service Specialist Property Claim Office 617-769-3597 Fax 617-773-4760