99 Washington Street 8-10-20 claim 1100 Crown Colony Drive
RECEIVED
P.O.Box 699195
Quincy,MA 02269-9195
A R B E L L A& 617.328.2800
INSURANCE GROUP AUG 19 2020 arbella.com
CITYOF SALEM
BOARD OF HEALTH
August 12,2020
SALEM HEALTH DEPARTMENT
SALEM CITY HALL
93 WASHINGTON STREET
SALEM, MA 01970
Claim Number: 034126121
Policy Number: 36989400005
Company Name: Arbella Mutual Insurance Company
Date of Loss: 08/10/2020
Insured: KRISTEN JIANG
Property Location: 99 WASHINGTON ST#41, 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