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126 FEDERAL STREET - CLAIM NOTICE (002) Claims Processing - Arnica Scan Center Toll Free: 1-888-70-AMICA PO Box 9690 (1-888-702-6422) ■ Providence, RI 02940-9690 Fax: 1-401-334-8377 AUTO HOME LIFE April 20, 2021 Salem City Hall 93 Washington St Salem MA 01970 File Number: 60004058765 Date of Loss: April 16, 2021 Owner/Insured: Patricia Medina-Pat Street: 126 Federal St Town: Salem Type of Loss: Wind 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, / �.� Griffin R. Adler Claims Department 888-702-6422 x21099 GADLER@AMICA.COM Arnica Mutual Insurance Company Arnica Life Insurance Company Arnica Property and Casualty Insurance Company Arnica General Agency, LLC Arnica General Insurance Agency, LLC