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323 Lafayette Street 7-1-20 claim 1100 Crown Colony Drive P.O. Box 699195 Quincy,MA 02269-9195 L L�� 617.328.2800 INSURA14CE GROUT' arbella.com September 11, 2020 SEP 21 2020 CITY OF SALEM SALEM HEALTH DEPARTMENT BOARD OF HEALTH SALEM CITY HALL 93 WASHINGTON STREET SALEM, MA 01970 Claim Number: 034131475 Policy Number: 77497400002 Company Name: Arbella Mutual Insurance Company Date of Loss: 07/01/2020 Insured: MELINDA GACHIGNARD Property Location: 323 LAFAYETTE ST UNIT 6, SALEM, NIA 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, Sarah Monaco Claim Service Specialist Property Claim Office 800-272-3552 ext. 7323 Fax 617-773-4760