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48 ESSEX STREET UNIT 8 - CLAIM NOTICE 1100 Crown Colony Drive P.O.Box 699195 �® Quincy,MA 02269-9952 ARBELL617.328.2800 INSURANCE GROUP arbella.com August 10, 2021 SALEM BUILDING COMMISSIONER SALEM CITY HALL 93 WASHINGTON STREET SALEM, MA 01970 Claim Number: 034202308 Policy Number: 22416400002 Company Name: Arbella Mutual Insurance Company Date of Loss: 08/09/2021 Insured: YELENA CIVRIC Property Location: 48 ESSEX STREET UNIT 8, 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 AUG 6 Pmta23 AUG