12 Insurance Loss 2019 i
14 1100 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
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August 26, 2019
NORTHAMPTON BUILDING COMMISSIONER
CITY GOVERNMENT OFFICE
212 MAIN STREET#100
NORTHAMPTON,MA '01060
Claim Number: 034052260
Policy Number: 11922400004
Company Name: Arbella Mutual Insurance Company
Date of Loss: 08%08/2019
Insured: DANIEL SHANAHAN
Property Location: 12:HAYES AVE,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,
Karen Kimball
Claim Service Specialist,
Property Claim Office
800-272-3552 ext. 7398 '
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
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