34 Phillips Street 5-27-19 claim 0 N RECEIVED 1100 Crown Colony Drive
P.O.Box 699195
A R B E L LA6 JUN 0.3 2019 Quincy,MA 6117.328 2800
INSURANCE GROUP CITY OF SALEM arbella.com
_ BOARD OF HEALTH _.
May 29, 2019
SALEM BUILDING COMMISSIONER
SALEM CITY HALL
93 WASHINGTON STREET
SALEM, MA 01970
Claim Number: 034028173
Policy Number: 89281400004
Company Name: Arbella Mutual Insurance Company
Date of Loss: 05/27/2019
Insured: MATTHEW FOSS
Property Location: 34 PHILLIPS ST, 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,
Douglas McGuirk
Claim Service Specialist
Property Claim.Office
800-272-3552 ext. 2454
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