5 School Street 6-25-21 claim RECEIVE®
JUL 0 2 2021 1100 Crown Colony Drive
P.O.Box 699195
L CITY OF SALEM Quincy,MA 02269-9952
ARBELBOARD OF HEALTH 617.328.2800
INSURANCE GROUP arbella.com
June 28, 2021
SALEM HEALTH DEPARTMENT
SALEM CITY HALL
93 WASHINGTON STREET
SALEM, MA 01970
Claim Number: 034191965
Policy Number: 33258400004
Company Name: Arbella Mutual Insurance Company
Date of Loss: 06/25/2021
Insured: SHARON BONNER
Property Location: 5 SCHOOL 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 3B 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.
Best regards,
Douglas McGuirk
Claim Service Specialist
Property Claim Office
800-272-3552 ext. 2454
Fax 617-773-4760