1A STILLWELL DRIVE 5-27-26 CLAIM 1100 Crown Colony Drive
P.O.Box 699195
Quincy,MA 02269-9952
617.328.2800
INSURANCE OROUP arbella.com
May 29, 2026
SALEM HEALTH DEPARTMENT
SALEM CITY HALL
93 WASHINGTON STREET
SALEM, MA 01970
RECEIVED
Claim Number: 034620686 JUN 112026
Company Name: Arbella Mutual Insurance Company CITY OF SALEM
Date of Loss: 05/27/2026 BOARD OF HEALTH
Insured: MARY GACHIGNARD
Property Location: lA STILLWELL 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,
Douglas McGuirk
Claim Service Specialist
Property Claim Office
617-328-2454
Fax 617-773-4760