194 Lafayette Street 11-9-20 claim I 1100 Crown Colony Drive
P.O.Box 699195
A� � � � ��® Quincy,MA 02269-9195
617.328.2800
INSURANCE GROUP arbella.com
RECEIVED
November 11, 2020 NOV 18 2020
CITY OF SALEM
SALEM HEALTH DEPARTMENT BOARD OF HEALTH
SALEM CITY HALL
93 WASHINGTON STREET
SALEM, MA 01970
Claim Number: 034145967
Policy Number: 48900400006
Company Name: Arbella Mutual Insurance Company
Date of Loss: 11/09/2020
Insured: ALEXANDER MORRALL
Property Location: 194 LAFAYETTE STREET, 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,
Cynthia Holden-Amor
Claim Service Specialist
Property Claim Office
800-272-3552 ext.7549
Fax 617-773-4760