5B Nimitz Way 1-4-18 claim 1100 Crown Colony Drive
P.O.Box 699103
Quincy,MA 02269-9103
.328.2800
A R B E L LA 61 rbella.com
INSURANCE GROUP arbella.com
RECEIVED
January 12, 2018
JAN 17 2018
SALEM BUILDING COMMISSIONER CITY OF SALEM
SALEM CITY HALL BOARD OF HEALTH
93 WASHINGTON STREET
SALEM, MA 01970
Claim Number: 033891839
Policy Number: 84279400004
Company Name: Arbella Mutual Insurance Company
Date of Loss: 01/04/2018
Insured: BARRY WEENER
Property Location: 5B NIMITZ WAY, SALEM, MA
Dear Sir or Madam:
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 CITY HALL
93 WASHINGTON STREET
SALEM, MA 01970
CC: SALEM FIRE DEPARTMENT
48 LAFAYETTE STREET
SALEM, MA 01970