48 Summit Avenue 7-6-21 claim 1100 Crown Colony Drive
P.O.Box 699195
�R B E L L A Quincy,MA 02269-9952
617.328.2800
INSURANCE GROUP arbella.com
July 9, 2021
RECEIVED
SALEM HEALTH DEPARTMENT JUL 14 2021
SALEM CITY HALL CITY OF SALEM
93 WASHINGTON STREET BOARD OF HEALTH
SALEM,MA 01970
Claim Number: 034194628
Policy Number: 65454400004
Company Name: Arbella Mutual Insurance Company
Date of Loss: 07/06/2021
Insured: MICHAEL GRIFFIN
Property Location: 48 SUMMIT AVE, 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.
Best regards,
Douglas McGuirk
Claim Service Specialist
Property Claim Office
800-272-3552 ext. 2454
Fax 617-773-4760