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47 Insurance Loss 1100 Crown Colony Drive P.O. Box 699195 AR BE LLA Quincy, M617328.2800 9100 602269-9195 INSURANCE GROUP arbella.com August 29, 2018 NORTHAMPTON BUILDING COMMISSIONER CITY GOVERNMENT OFFICE 212 MAIN STREET#100 NORTHAMPTON, MA 01060 Claim Number: 033958917 Policy Number: 60965400003 Company Name: Arbella Mutual Insurance Company Date of Loss: 07/29/2018 Insured: MICALA SIDORE Property Location: 47 MUNROE ST,NORTHAMPTON, 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, Sarah Monaco Claim Service Specialist Property Claim Office 800-272-3552 ext. 7323 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