9 Lyme Street 1-24-18 claim 1100 Crown Colony Drive
P.O. Box 699103
Quincy,MA 02269-9103
617328.2800
A R B E L L A arbella.com
INSURANCE GROUP
RECEIVED
January 29, 2018 FEB 012018
CITY OF SALEM
SALEM BUILDING COMMISSIONER BOARD OF HEALTH
SALEM CITY HALL
93 WASHINGTON STREET
SALEM,MA 01970
Claim Number: 033897606
Policy Number: 60234400001
Company Name: 01bella 1utualInsuranceCompany
Date of Loss:
Insured: LUCIEN LECLERC
Property Location: 9 LYME ST, SALEM, MA
Dear .
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