203 Essex Street 11-27-17 claim ARBEL LA°
Elaine Dupuis-Lane,Claim Manager
December 16, 2017 RECEIVED
SALEM BUILDING COMMISSIONER DEC 2 12017
SALEM CITY HALL CITY OF SALEM
SALEM MA 1970 BOARD OF HEALTH
Claim Number: 601IC187763
Policy Number: 8500067933
Company Name: Arbella Mutual Insurance Company
Date of Loss: November 27, 2017
Insured: Hotel Salem Real Estate Holdings LLC
Property Location: 203 Essex St., Salem, MA 01970
To Whom It May Concern:
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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
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applicable.
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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.
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Very truly yours,
, l-
Mark Frechette
Claim Technical Specialist j
Property Claim Office
800-272-3552 ext. 2203
Fax 617-773-4760
cc
Salem Fire Dept„48 Lafayette Street, Salem MA 1970
Salem Health Dept. Salem City Hall,Salem MA 1970
ixoo Crown Colony Drive R0.Box 699zz5 Quincy,MA 02269-9225 telephone(800)ARBELLA www.arbella.com