1-65 Valiant Way 1-25-19 claim 1100 Crown Colony Drive
P.O.Box 699103
A R B E I. L.A►® Quincy,MA 02269-9103
617.328.2800
INSURANCE GROUP arbella.com
January 31,2019 RECEIVED
SALEM BUILDING COMMISSIONER FEB 0`4 2019
SALEM CITY HALL CITY OF SALEM
93 WASHINGTON STREET BOARD OF HEALTH
SALEM, MA 01970
Claim Number: 601KI89895
Policy Number: 8500068967
Company Name: Arbella Protection Insurance Company
Date of Loss: 01/25/2019
Insured: VILLAGE AT VINNIN SQUARE CONDO TRUST
Property Location: 1-65 VALIANT WAY SALEM, MA 01970
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.Kindly include a reference to the captioned insured, location,date of loss and
claim number.
Sincerely,
Melissa Ross
Claim Service Specialist
Property Claim Office
Phone 857-939-4377
Fax 617-773-4760
CC: SALEM HEALTH DEPARTMENT
SALEM CITY HALL
93 WASHINGTON STREET
SALEM,MA 01970
CC: SALEM FIRE DEPARTMENT
48 LAFAYETTE STREET
SALEM,MA 01970