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INS LOSS 12/17/2020 LTR lg 1100 Crown Colony Drive y, P.O.Box 699195 tt_ Quincy,MA 02269-9195 .A R B E L L A 617.3282800 arbebell&a.comcom INSURANCE GROUP December 24,2020 SALEM BUILDING COMMISSIONER SALEM CITY HALL 93 WASHINGTON STREET SALEM, MA 01970 Claim Number: 034154624 Policy Number: 68949400005 Company Name: Arbella Indemnity Insurance Company Date of Loss: 12/17/2020 Insured: WILLIAM CONLEY Property Location: 26 OAKLAND 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, Cynthia Holden-Amor Claim Service Specialist Property Claim Office 800-272-3552 ext.7549 Fax 617-773-4760