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94 insurance loss 2017 ARBELLA' IMSUR♦MCC GROUP Elaine Dupuis-Lane,Claim Manager August 7,2017 NORTHAMPTON BUILDING COMMISSIONER CITY GOVERNMENT OFFICE 212 MAIN STREET#100 NORTHAMPTON,MA 01060 Claim Number 033850959 Policy Number: 38697400005 Company Name: Arbella Mutual Insurance Company Date of Loss: 08/05/2017 Insured: ELIZABETH YOUNT Property Location: 94 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 era truly yours, Debra Gellerman Claim Technical Specialist Property Claim Office 800-272-3552 ext. 7358 Fax 617-773-4760 CC: NORTHAMPTON HEALTH DEPARTMENT CITY GOVERNMENT OFFICE 212 MAIN STREET#101 NORTHAMPTON,MA 01060 CC: NORTHAMPTON FIRE DEPARTMENT CITY HALL 210 MAIN STREET NORTHAMPTON,MA 01060 Imo Crown Colony Drive P.O.Box 699195 Quincy,MA 02269-9195 telephone(800)ARBELLA www.arbella.com