26 Oakland Street 12-17-20 claim „ RECEIVED 1100 Crown Colony Drive
P.O.Box 699195
JAN 0 4 2021 Quincy,MA 02269-9195
A R B E L L A 617.328.2800
CITY OF SALEM
INSURANCE GROUP BOARD OF HEALTH arbella.com
December 24, 2020
SALEM HEALTH DEPARTMENT
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 313 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