35 HANCOCK STREET 5-9-22 CLAIM RECEIVED
1100 Crown Colony Drive
MAY 19 2022 P.O.Box 699195
69-9952
A R B E L L.& Quincy'MA17 328 800
INSURANCE GROUP BOARD
OF SALEM arbella.com
130ARD OF HEALTH
May 13, 2022
SALEM HEALTH DEPARTMENT
SALEM CITY HALL
93 WASHINGTON STREET
SALEM,MA 01970
Claim Number: 034267510
Company Name: Arbella Mutual Insurance Company
Date of Loss: 05/09/2022
Insured: KRISTEN HOMAN
Property Location: 35 HANCOCK STREET#3, 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,
Douglas McGuirk
Claim Service Specialist
Property Claim Office
800-272-3552 ext. 2454
Fax 617-773-4760