274 Derby Street 5-12-20 claim RECEIVED 1100 Crown Colony Drive
P.O.Box 699103
� �� MAY 2 6 2020 Quincy,MA 02269-9103
617.328.2800
kNSURANCt OR040 CITY OF-SALEM arbella.corn
BOARD OF HEALTH
May 15,2020
SALEM HEALTH DEPARTMENT
SALEM CITY HALL
93 WASHINGTON STREET
SALEM,MA 01970
Claim Number: 601KI92136
Policy Number: 8500047827
Company Name: Arbella Protection Insurance Company
Date of Loss: 05/12/2020
Insured: NEW ENGLAND PIRATE MUSEUM INC
Property Location: 274 DERBY ST SALEM, MA
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.Kindly include a reference to the captioned insured, location, date of loss and
claim number.
Sincerely,
Melissa Ross
Claim Service Specialist
Property Claim Office
Phone 800-272-3552 x 2489
Fax 617-773-4760