20 KOSCIUSKO STREET 1-16-22 CLAIM RECEIVED 1100 Crown Colony Drive
P.O.Box 699195
FEB 0 3 2022 Quincy,MA 02269-9952
ARBIELLA CITY OF SALEM617. 0 1 a com
INSURANCE GROUP BOARD OF HEALTH
January 25,2022
SALEM HEALTH DEPARTMENT
SALEM CITY HALL
93 WASHINGTON STREET
SALEM, MA 01970
Claim Number: 034240463
Company Name: Arbella Protection Insurance Company
Date of Loss: 01/16/2022
Insured: TUCKERS WHARF CONDOMINIUM TRUST/
Property Location: 20 KOSCIUSKO, 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,
Emily Migre
Claim Service Specialist
Property Claim Office
800-272-3552 ext. 7369
Fax 617-773-4760