77 Claim Involving Loss 2016 12/02/2016
ARBELLA
NORTHAMPTON BUILDING COMMISSIONER
CITY GOVERNMENT OFFICE
212 MAIN STREET#100
NORTHAMPTON, MA 01060
Elaine Dupuis-Lane,Claim Manager
Claim Number: 033779290
Policy Number: 90687400003
Company Name: Arbella Mutual Insurance Company
Date of Loss: 11/30/2016
Insured: ANDREW KESIN
Property Location: 77 HILLCREST DRIVE, FLORENCE,MA
To Whom It May Concern:
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. Kindly include a reference to the captioned insured,
location, date of loss and claim number.
Very truly yours,
Marc Lindell
Claim Service Specialist
Property Claim Office
800-272-3552 ext. 6867
Fax 617-773-4760
CC: NORTHAMPTON HEALTH DEPARTMENT
CITY GOVERNMENT OFFICE
212 MAIN STREET #101
NORTHAMPTON, MA 01060
CC: NORTHAMPTON FIRE DEPARTMENT
CITY HALI.
2W MAIN STREET
NORTHAMPTON, MA 01060
u00 Crown Colony Drive P.O.Box 699195 Quincy,MA 02269-9195 telephone(80o)ARBELLA wuw.arbella.com