69 Insurance Loss t 1100 Crown Colony Drive
P.O.Box 699195
AR B E L LA Quincy,MA 02269-9195
617.328.2800
INSURANCE GROUP arbella.com
January 9, 2019
NORTHAMPTON BUILDING COMMISSIONER
CITY GOVERNMENT OFFICE
212 MAIN STREET#100
NORTHAMPTON, MA 01060
Claim Number: 033990753
Policy Number: 96469400005
Company Name: Arbella Protection Insurance Company
Date of Loss: 01/01/2019
Insured: LISA DARRAGH
Property Location: 69 N MAPLE STREET, FLORENCE, 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.
Sincerely,
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