12 Salt Wall Lane 8-6-21 claim RECEIVED 1100 Crown Colony Drive
P.O.Box 699195
A R B E L LA SEP 2 0 202t Quincy,MA 617.3282800
INSURANCE GROUP CITY OF SALEM arbella.com
BOARD OF HEALTH
September 16, 2021
SALEM HEALTH DEPARTMENT
SALEM CITY HALL
93 WASHINGTON STREET
SALEM, MA 01970
Claim Number: 034208920
Policy Number: 83269400005
Company Name: Arbella Mutual Insurance Company
Date of Loss: 08/06/2021
Insured: JOHN SACHETTI
Property Location: 12 SALT WALL LN, 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 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.
Best regards,
Karen Kimball
Claim Service Specialist
Property Claim Office
800-272-3552 ext. 7398
Fax 617-773-4760