25 Insurance Loss 1100 Crown Colony Drive
P.O. Box 699195
ARBELLA Qnmey,M6u1222
6 -92195100
sz 8.
INSURANCE GROUP arbella.com
August 20,2018
NORTHAMPTON BUILDING COMMISSIONER
CITY GOVERNMENT OFFICE
212 MAIN STREET#100
NORTHAMPTON, MA 01060
Claim Number: 033956099
Policy Number: 04450400005
Company Name: Arbella Mutual Insurance Company
Date of Loss: 08/17/2018
Insured: GINA AYVAZIAN
Property Location: 25 NEW SOUTH STREET,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,
Marc Lindell
Claim Service Specialist
Property Claim Office
800-272-3552 ext. 6867
Fax 617-773-4760
CC: NORTHAMPTON HEALTH DEPARTMENT
212 MAIN STREET#101
NORTHAMPTON, MA 01060
CC: NORTHAMPTON FIRE DEPARTMENT
CITY HALL
210 MAIN STREET
NORTHAMPTON, MA 01060