26 Oakland Street 12-31-17 claim 1100 Crown Colony Drive
P.O. Box 699103
Quincy, MA 02269-9101
A R B E L L A 61 r
abella 800
bella.com
INSURANCE GROUP
RECEIVE®
January 2, 2018 JAN U 92013
CITY OF SALEM
SALEM BUILDING COMMISSIONER BOARD OF HEALTH
SALEM CITY HALL
93 WASHINGTON STREET
SALEM, MA 01970
Claim Number: 033890013
Policy Number: 68949400005
Company Name: Arbella Indemnity Insurance Company
Date of Loss: 12/31/2017
Insured: WILLIAM CONLEY
Property Location: 26 OAKLAND STREET, SALEM, MA
Dear: Madam/ Sir
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
CC: SALEM HEALTH DEPARTMENT
SALEM CPfY HALL
93 WASHINGTON STREET
SALEM, MA 01970
CC: SALEM FIRE DEPARTMENT
48 LAFAYETTE STREET
SALEM,tiIA 01970