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39 Insurance Loss 2020ARBELL.A INSURANCE GROUP March 30, 2020 NORTHAMPTON BUILDING COMMISSIONER CITY GOVERNMENT OFFICE 212 MAIN STREET #100 NORTHAMPTON, MA 01060 Claim Number: Policy Number: Company Name: Date of Loss: Insured: -- Property Location: 034102842 23075400003 Arbella Mutual Insurance Company 03/27/2020 FREDERICK PIROG 39 OVERLOOK DRIVE, FLORENCE, MA To Whom It May Concern: 1100 Crown Colony Drive P.O. Box 699195 Quincy, MA 02269-9195 617.328.2800 arbella.com 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, Dave Salvaggio Claim Service Specialist Property -Claim. Office 800-272-3552 ext. 2227 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