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11 CHURCH STREET, #416 10-11-26 CLAIM RECEIVED p 1 100 Crown Colony Drive OCT 19 2026 P.O.Box 699195 Quincy,MA 02269-9952 ARBELL,kCITY OF SALEM 617.328.2800 i N5i,AAw C€ 'G ROJ`-' BOARD OF HEALTH arbella.com October 13, 2026 SALEM HEALTH DEPARTMENT SALEM CITY HALL 93 WASHINGTON STREET SALEM, MA 01970 Claim Number: 034651086 Company Name: Arbella Indemnity Insurance Company Date of Loss: 10/11/2026 Insured: KATHLEEN FLOOD Property Location: 11 CHURCH ST#416, 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 617-328-2454 Fax 617-773-4760