22 West Avenue 9-1-20 claim 1100 Crown Colony Drive
+ P.O.Box 699195
�� Quincy,MA 02269-9195
ARBELL617.328.2800
INSURANCE GROUP arbella.com
September 24, 2020
RECEIVED
SALEM HEALTH DEPARTMENT OCT a 6 2020
SALEM CITY HALL
93 WASHINGTON STREET CITY OF SALEM
SALEM, MA 01970 BOARD OF HEALTH
Claim Number: 034135096
Policy Number: 88061400005
Company Name: Arbella Mutual Insurance Company
Date of Loss: 09/01/2020
Insured: LAUREL GUY
Property Location: 22 WEST AVE, 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