9 Roosevelt Road 1-20-18 claim 1100 Crown Colony Drive
P.O.Box 699103
Quincy,MA 02269-9103
617.328.2800
A R B E L L A arbella.com
INSURANCE GROUP
RLErE9°VE®
April 2,2018 APR 0 5 2013
CITY OF SALEM
SALEM BUILDING COMMISSIONER BOARD OF HEALTH
SALEM CITY HALL
93 WASHINGTON STREET
SALEM, MA 01970
Claim Number: 033917394
Policy Number: 55832400004
Company Name: Arbella Mutual Insurance Company
Date of Loss: 01/20/2018
Insured: HARRIET CARR
Property Location: 9 ROOSEVELT RD, SALEM, MA
To Whom It May Concern:
ion of the above captioned
mayaim has ei her exceed $1,000 oeen made r causeMassachusetts loss, rGen altLaws, Chapter 143, Section 6,pto be which
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