7 Osborne Street 9-30-20 claim 1100 Crown Colony Drive
P.O.Box 699195
9-9195
A R BE E L L.& Quincy,MA 6107.328 2800
INSURANCE GROUP arbella.com
October 1, 2020 RECEIVED
SA-1EZ111! .'.' "i ' : DEPARTtilENT
OCT 0 6 2020
SALEM CITY HALL CITY OF SALEM
93 WASHINGTON STREET BOARD OF HEALTH
SALEM, MA 01970
Claim Number: 034136593
n 1; . NT . 1_ .. gf1C�1'?4/�I1nn�
Company Name: Arbella:Mutual Insurance Company
Date of Loss: 09/30/2020
Insured: JOHN KONTARASIS
Property Location: 7 OSBORNE ST, 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 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