73 Claim Involving Loss 2016 0$
ARBELLA
02/04/2016
NORTHAMPTON BUILDING COMMISSIONER
QTY GOVERNMENT OFFICE
212 MAIN STREET# 100
NORTHHAMPTON,MA 01060
Claim Number.
Policy Number.
Company Name:
Date of Loss:
Insured:
Property Location:
Elaine Dupuis-Lane,Claim Manager
033679388
64322400003
Arbella Mutual Insurance Company
02/03/2016
DAVID KATZ
73 MASSASOIT ST,NORTHAMPTON,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
CO NORTHAMPTON I ICALTH DEPARTMENT
CITY GOVERNMENT OFFICE
212 MAIN STREET#101
NORTHHAMPTON,MA 01060
CO NORTHHAMPTON FIRE DEPARTMENT
QTY HALL
210 MAIN STREET
NORTHHAMPTON,MA 01060
oo Crown Colony Drive PQ Box 699195 Quincy, MA oz269-9195 telephone(Soo)ARBELLA wvw.arbella.com