11 CHURCH STREET, #508 9-30-20 CLAIM 1100 Crown Colony Drive
P.O.Box 699195
Quincy,MA 02269-9195
A R B E L L..�►:.`4 617.328.2800
INSURANCE GROUP arbella.com
October 1, 2020
RECEIVED
SALEM HEALTH DEPARTMENT OCT U 6 2020
SALEM CITY HALL
93 WASHINGTON STREET CITY O SALEM
BOARD OF HEALTH
SALEM, MA 01970
Claim Number: 034136628
Policy Number: 99277400004
Company Name: Arbella Mutual Insurance Company
Date of Loss: 09/30/2020
Insured: JANE LITCHFORD
Property Location: 11 CHURCH ST# 508, 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 313 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,
Karen Kimball
Claim Service Specialist
Property Claim Office
800-272-3552 ext. 7398
Fax 617-773-4760