414.5 Lafayette Street 7-6-21 claim RECEIVE
1100 Crown Colony Drive
JUL 15 2021 P.O.Box 699195
Quincy,MA 02269-9952
ARBELLA: 617.328.2800
INSURANCE GROUP CITY OF SALEM arbella.com
BOARD OF HEALTH
July 12, 2021
SALEM HEALTH DEPARTMENT
SALEM CITY HALL
93 WASHINGTON STREET
SALEM, MA 01970
Claim Number: 034194594
Policy Number: 29244400004
Company Name: Arbella Mutual Insurance Company
Date of Loss: 07/06/2021
Insured: MAURICE MOLONEY
Property Location: 414 1/2 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.
Best regards,
Douglas McGuirk
Claim Service Specialist
Property Claim Office
800-272-3552 ext. 2454
Fax 617-773-4760