INS LOSS LTR 08/22/2019 r it 1100 Crown Colony Drive
P.O. Box 699195
A R B E L L A Quincy,MA 612269-9195
7.328 2800
INSURANCE GROUP arbella.com
August 22, 2019
SALEM BUILDING COMMISSIONER
SALEM CITY HALL
93 WASHINGTON STREET
SALEM, MA 01970
Claim Number: 034051648
Policy Number: 45681400001
Company Name: Arbella Mutual Insurance Company
Date,of Loss: 07/24/2019
Insured: NORMAN LEBLANC
Property Location: 84 CAVANDISH CIRCLE, 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.
Sincerely,
Cynthia Holden-Amoy
Claim Service Specialist
- --sporty Claim Office — -
800-272-3552 ext.7549
Fax 617-773-4760
CC: SALEM HEALTH DEPARTMENT
SALEM CITY HALL
93 WASHINGTON STREET
SALEM, MA 01970
CC: SALEM FIRE DEPARTMENT
48 LAFAYETTE STREET
SALEM, MA 01970