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1 BROOKS COURT 8-30-26 CLAIM RECEIVED 1100 Crown Colony Drive S�� 4 2��6 P.O.Box 699195 Quincy,MA 02269-9952 „.R B 1EL L 617.328.2800 CITY OF SALEM VN5JR,NCE €RO%JP BOARD OFHEALTH arbella.com August 31, 2026 SALEM HEALTH DEPARTMENT SALEM CITY HALL 93 WASHINGTON STREET SALEM, MA 01970 Claim Number: 034642499 Company Name: Arbella Indemnity Insurance Company Date of Loss: 08/30/2026 Insured: GARY AMES JR Property Location: 1 BROOKS COURT, 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, Emily Migre Claim Service Specialist 508-217-0186 Fax 617-773-4760