13 FIRST STREET 1-2-22 CLAIM RECEIVED
1100 Crown Colony Drive
P.O.Box 699195
JAN 10 2022 Quincy,MA 02269-9952
A R B E L L Ag 617.328.2800
INSURANCE GROUP? CITY OF SALEM arbella.com
BOARD OF HEALTH
January 4, 2022
SALEM HEALTH DEPARTMENT
SALEM CITY HALL
93 WASHINGTON STREET
SALEM, MA 01970
Claim Number: 034236004
Company Name: Arbella Mutual Insurance Company
Date of Loss: 01/02/2022
Insured: MAHADEVA DANIEL
Property Location: 13 FIRST ST D-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,
Marc Lindell
Claim Service Specialist
Property Claim Office
800-272-3552 ext. 6867
Fax 617-773-4760