15R Franklin Street 9-30-20 claim 1100 Crown Colony Drive
P.O.Box 699195
R B E L .ice A Quincy,MA 6117 3282800
INSURANCE GROUP arbella.com
October 1, 2020 RECEIVED
SALEM HEALTH DEPARTMENT OCT 0 6 2020
CITY OF SALEM
SALEM CITY HALL BOARD OF HEALTH
93 WASHINGTON STREET
SALEM, MA 01970
Claim Number: 034136537
Policy Number: 96832400002
Company Name: Arbella Mutual Insurance Company
Date of Loss: 09/30/2020
Insured: DOROTHY LEMELIN
Property Location: 15R FRANKLIN 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 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,
Sarah Monaco
Claim Service Specialist
Property Claim Office
800-272-3552 ext. 7323
Fax 617-773-4760