69 Ocean Avenue West 3-3-18 claim RECEIVED 1100CroP.O. Bo Colony
699103
P.O. Box 699103
Quincy,MA 02269-9103
A R B E L L A MAR 15 2018 617.328.2800
arbella.com
INSURANCE GROUP
CITY OF SALEM
SOAMD
March 12, 2018
SALEM BUILDING COMMISSIONER
SALEM CITY HALL
93 WASHINGTON STREET
SALEM, MA 01970
Claim Number: 033909093
Policy Number: 67746400003
Company Name: Arbella Mutual Insurance Company
Date of Loss: 03/03/2018
Insured: WILLIAM MORAN
Property Location: 69 OCEAN AVE WEST, 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.
Sincerely,
Tracy Violette
Claim Service Specialist
Property Claim Office
800-272-3552 ext. 2178
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