12 Preston Road 3-2-18 claim R i✓E 0 V ® 1100 Crown Colony Drive
MAR 2 6 2013 P.O. Box 699103
A R B E L L A 6 Quincy,M 01017.328.2328.2800
INSURANCE GROUP CITY OF SALEM arbella.com
BOARD OF HEALTH
March 19, 2018
SALEM BUILDING COMMISSIONER
SALEM CITY HALL
93 WASHINGTON STREET
SALEM, MA 01970
Claim Number: 033908802
Policy Number: 61669400005
Company Name: Arbella Mutual Insurance Company
Date of Loss: 03/02/2018
Insured: JOSEPH ADDARIO
Property Location: 12 PRESTON ROAD, 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,
Karen Kimball
Claim Service Specialist
Property Claim Office
800-272-3552 ext. 7398
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