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37 Settlers Way 2-26-18 claim Elaine Dupuis-Lane,Claim Manager Date: 4/24/18 RECEIVED SALEM BUILDING COMMISSIONER MAY 0 3 2018 SALEM CITY HALL 93 WASHINGTON STREET CITY OF SALEM SALEM, MA 01970 BOARD OF HEALTH Claim Number: 601K188637 Policy Number: 8500049411 Company Name: Arbella Protection Insurance Company Date of Loss: 02/26/2018 Insured: COLLINS COVE CONDO TRUST Property Location: 37 SETTLERS WAY, SALEM,MA To Whom It May Concern: 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. Kindly include a reference to the captioned insured, location, date of loss and claim number. Very truly yours, MARK LINDELL Claim Service Specialist Property Claim Office Phone 617-347-0169 Fax 617-745-7414 Mark.LindeU@Arbefla.com CC: SALEM HEALTH DEPARTMENT SALEM CITY HALL 93 WASHINGTON STREET SALEM, MA 01970 CC: SALEM FIRE DEPARTMENT 48 LAFAYETTE STREET SALEM, MA 01970