10 BARTON STREET 10-14-20 CLAIM 1100 Crown Colony Drive
P.O.Box 699195
A R B E L L Ae Quincy,MA 02269-9195
617.328.2800
INSURANCE GROUP arbella.com
October 16, 2020 RECEIVED
OCT 2 7 2020
SALEM HEALTH DEPARTMENT CITY OF SALEM
SALEM CITY HALL BOARD OF HEALTH
93 WASHINGTON STREET
SALEM,MA 01970
Claim Number: 034140765
Policy Number: 46336400004
Company Name: Arbella Mutual Insurance Company
Date of Loss: 10/14/2020
Insured: BETH TOBIN
Property Location: 10 BARTON STREET, 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,
Cynthia Holden-Amor
Claim Service Specialist
Property Claim Office
800-272-3552 ext.7549
Fax 617-773-4760