11 BARTON SQUARE 11-30-20 CLAIM (002) 1100 Crown Colony Drive
P.O.Box 699195
�� Quincy,MA 02269-9195
617.328.2800
INSURANCE GROUP arbella.com
January 27, 2021
RECEIVED
SALEM HEALTH DEPARTMENT
SALEM CITY HALL FEB 0 3 2021
93 WASHINGTON STREET CITY OF SALEM
SALEM,MA 01970 BOARD OF HEALTH
Claim Number: 034160172
Policy Number: 18238400005
Company Name: Arbella Mutual Insurance Company
Date of Loss: 11/30/2020
Insured: FRANCIS THOMPSON
Property Location: 11 BARTON SQ 4102, 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,
Sarah Monaco
Claim Service Specialist
Property Claim Office
800-272-3552 ext. 7323
Fax 617-773-4760