106 BROADWAY 7-12-22 CLAIM 1100 Crown Colony Drive
P.O.Box 699195
Quincy,MA 02269-9952
617.328.2800
INSURANCE GROUP arbella.com
July 14, 2022 RECEIVED
SALEM HEALTH DEPARTMENT JUL 2_5 2022
SALEM CITY HALL CITY OF SALEM
93 WASHINGTON STREET BOARD OF:HERS'-X
SALEM, MA 01970
Claim Number: 034282902
Company Name: Arbella Mutual Insurance Company
Date of Loss: 07/12/2022
Insured: WILLIAM BUTTERFIELD
Property Location: 106 BROADWAY ST, 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