141 Fort Avenue 8-3-21 claim RECEIVED
1100 Crown Colony Drive
41 AUG Q 9 2021 P.O.Box 699195
2269-9952
A R B E L L.A: CITY OF SALEM Quincy,M 6 07 328 2800
INSURANCE GROUP BOARD OF HEALTH arbella.com
August 4, 2021
SALEM HEALTH DEPARTMENT
SALEM CITY HALL
93 WASHINGTON STREET
SALEM, MA 01970
Claim Number: 034200864
Policy Number: 39049400004
Company Name: Arbella Mutual Insurance Company
Date of Loss: 08/03/2021
Insured: ROBIN STEIN
Property Location: 141 FORT 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,
James Handerhan
Claim Service Specialist
Property Claim Office
800-272-3552 ext. 2329
Fax 617-773-4760