16 SCENIC AVENUE 3-9-22 CLAIM 1100 Crown Colony Drive
P.O.Box 699195
E Z. L�g Quincy,MA 02269-9952
ARB617.328.2800
INSURANCE GROUTS arbella.com
March 10, 2022 RECEIVED
SALEM HEALTH DEPARTMENT MAR 15 2022
SALEM CITY HALL CITY OF SALEM
93 WASHINGTON STREET BOARD OF HEALTH
SALEM, MA 01970
Claim Number: 034252389
Company Name: Arbella Mutual Insurance Company
Date of Loss: 03/09/2022
Insured: JANE NDEGWA
Property Location: 16 SCENIC 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 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,
Karen Oliveira
Claim Service Specialist
Property Claim Office
800-272-3552 ext. 7398
Fax 617-773-4760