10 WEATHERLY DRIVE 10-6-21 CLAIM RECEIVED
1100 Crown Colony Drive
DEC 22021 Quincy,P.O.Box 699195
TT T Aincy,MA 02269-9952
A R B E L L OF SALEM 617.328.2800
INSURANCE GROUP CITY BOARD OF HEALTH arbella.com
EAL
December 10, 2021
SALEM HEALTH DEPARTMENT
SALEM CITY HALL
93 WASHINGTON STREET
SALEM, MA 01970
Claim Number: 034231137
Company Name: Arbella Indemnity Insurance Company
Date of Loss: 10/06/2021
Insured: LEO TREMBLAY
Property Location: 10 WEATHERLY DR#2, 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,
Steven Chartier
Claim Service Specialist
Property Claim Office
800-272-3552 ext. 7556
Fax 617-773-4760