32A WEST AVENUE - CLAIM NOTICE 1100 Crown Colony Drive
P.O.Box 699195
A R E L L 61
Quincy,M 02269-9195
7.328 2800
IftSU ANCt, OROUP arbella.com
March 22, 2021
SALEM BUILDING COMMISSIONER
SALEM CITY HALL
93 WASHINGTON STREET
SALEM, MA 01970
Claim Number: 034170798
Policy Number: 97341400004
Company Name: Arbella Mutual Insurance Company
Date of Loss: 03/16/2021
Insured: ZAIYONG TANG
Property Location: 32A WEST AVE, 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.
Sincerely,
Karen Kimball
Claim Service Specialist
Property Claim Office
800-272-3552 ext. 7398
Fax 617-773-4760