5 Weatherly Drive, Unit 18 1-7-18 claim 1100 Crown Colony Drive
P.O.Box 699103
A R B E L L A 6 Quincy,M 003
17.328.28.328.2800
INSURANCE GROUP arbella.com
RECEIVED
January 31,2018
FEB 0 2 2018
SALEM HEALTH DEPARTMENT CITY OF SALEM
SALEM CITY HALL BOARD OF HEALTH
93 WASHINGTON STREET
SALEM, MA 01970
Claim Number: 601K187943
Policy Number: 8500067621
Company Name: Arbella Protection Insurance Company
Date of Loss: 01/07/2018
Insured: WEATHERLY DRIVE CONDOMINIUM TRUST
Property Location: 5 WEATHERLY DRIVE UNIT 18, 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 313 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,
Mark Frechette
Claim Service Specialist
Property Claim Office
617-328-2203
Fax 617-773-4760
CC: SALEM BUILDING COMMISSIONER
SALEM CITY HALL
93 WASHINGTON STREET
SALEM, MA 01970
CC: SALEM FIRE DEPARTMENT
48 LAFAYETTE STREET
SALEM, MA 01970