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INS LOSS LTR 04/14/2020 -0 1100 Crown Colony Drive P.O.Box 699195 A R B E L L A. Quincy'MA 02269-9195 617.328.2800 INSURANCE GROUP arbella.com April 21, 2020 SALEM BUILDING COMMISSIONER SALEM CITY HALL 93 WASHINGTON STREET SALEM, MA 01970 Claim Number: 034105870 Policy Number: 43192400004 Company Name: Arbella Mutual Insurance Company Date of Loss: 04/14/2020 Insured: MANUEL RAYMOND Property Location: 13 HARROD STREET, 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, Douglas McGuirk Claim Service Specialist Property Claim Office 800-272-3552 ext. 2454 Fax 617-773-4760