8 BENGAL LANE 11-15-21 CLAIM RECEIVED
1100 Crown Colony Drive
DEC 0 6 2021 P.O.Box 699195
L ��� Quincy,MA 02269-9952
ARBECoiTY OF SALEM 617.328.2800
INSURANCE GROUP BOARD OF HEALTH arbella.com
December 2, 2021
SALEM HEALTH DEPARTMENT
SALEM CITY HALL
93 WASHINGTON STREET
SALEM, MA 01970
Claim Number: 034229206
Company Name: Arbella Mutual Insurance Company
Date of Loss: 11/15/2021
Insured: LISA GHIOZZI
Property Location: 8 BENGAL LANE, 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,
Sarah Monaco
Claim Service Specialist
Property Claim Office
800-272-3552 ext. 7323
Fax 617-773-4760