331 Lafayette Street 1-17-20 claim 1100 Crown Colony Drive
P.O.Box 699195
.A R B E L L A Quincy,MA 02269-9195
617.328.2800
INSURANCE GROUP arbella.com
RECEIVED
January 24, 2020
JAN 2 8 2020
SALEM BUILDING COMMISSIONER
SALEM CITY HALL BCITYOARD O SALEM
OF HEALTH
93 WASHINGTON STREET
SALEM, MA 01970
Claim Number: 601KI91403
Policy Number: 8500067799
Company Name: Arbella Protection Insurance Company
Date of Loss: 01/17/2020
Insured: 331 LAFAYETTE ST LLC
Property Location: 331 LAFAYETTE ST., 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 3B 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,
Melissa Ross
Claim Service Specialist
Property Claim Office
800-272-3552 ext. 2489
Fax 617-773-4760
CC: SALEM HEALTH DEPARTMENT
SALEM CITY HALL
93 WASHINGTON STREET
SALEM, MA 01970
CC: SALEM FIRE DEPARTMENT
48 LAFAYETTE STREET
SALEM, MA 01970