1 WASHINGTON STREET - CLAIM NOTICE Claims Processing - Arnica Scan Center Toll Free: 1-888-70-AMICA
PO Box 9690 (1-888-702-6422)
* Providence, RI 02940-9690 Fax: 1-888-999-3221
AUTO HOME LIFE
City of Salem May 25, 2021
93 Washington Street
Salem, MA 01970
Attn: Builging Inspector
File Number: 60004085741
Date of Loss: May 22, 2021
Owner/Insured: David M. Hart
Street: 1 Washington St
Town: Salem
Type of Loss: Smoke
To Whom It May Concern:
Please be advised that we insure the above named individual(s). A claim has been made
for Damage to Real Property and as the insurer, we are presently in the process of adjusting the
loss.
We are mandated to comply with Massachusetts General Laws, Chapter 139 and as such,
if there are any present liens on the above property, please notify us within 10 days of receipt of
this letter. If we do not hear from you, we will be under no obligation to pay you any portion
of this claim.
Sincerely,
Leslie W. Clayborne AIC, AINS
Claims Department
888-702-6422 x21108
LCLAYBORNE@AMICA.COM MAY 28 AM 10:02
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Arnica Mutual Insurance Company Arnica Life Insurance Company Arnica Property and Casualty Insurance Company
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