19 CHANDLER ROAD 12-27-20 CLAIM RECEIVED
1100 Crown Colony Drive
MAR 0 8 2021 P.O.Box 699195
Quincy,MA 02269-9195
A ► L L CITY OF SALEM 617.328.2800
BOARD OF HEALTH arbella.com
March 2, 2021
SALEM HEALTH DEPARTMENT
SALEM CITY HALL
93 WASHINGTON STREET
SALEM, MA 01970
Claim Number: 034167130
Policy Number: 96266400004
Company Name: Arbella Mutual Insurance Company
Date of Loss: 12/27/2020
Insured: SEAN KELLEHER
Property Location: 19 CHANDLER RD, 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