95 Insurance Loss 2019 1103 Crown Colony Drive
P.O.Box 699195
Quincy,MA 02269-9195
A R B E L L A 617.328.2800
INSURANCE GROUP arbella.com
I
September 25, 2019
NORTHAMPTON BUILDING COMMISSIONER
CITY GOVERNMENT OFFICE
212 MAIN STREET 4"100'
NORTHAMPTON,MA 01060
Claim Number: 034058276
Policy Number: 04917400004
Company Name: Arbella Mutual Insurance Company
Date of Loss: 09/18/2019
Insured: CONSTANCE COGGSWELL
Property Location: 95 STATE 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,
Marc Lindell
Claim Service Specialist
Property Claim Office
800-272-3552 ext. 6867
Fax 617-773-4760
CC: NORTHAMPTON HEALTH DEPARTMENT
CITY GOVERNMENT OFFICE
212 MAIN STREET#101
NORTHAMPTON, MA 01060
CC:NORTHAMPTON FIRE DEPARTMENT
CITY HALL
21OMAN STREET
-�:'NORTHAMPTON MA 01060