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73 Insurance Loss 2020El ARBE LLA INSURANCE GROUP June 3, 2020 NORTHAMPTON HEALTH DEPARTMENT CITY GOVERNMENT OFFICE 212 MAIN STREET #101 NORTHAMPTON, MA 01060 Claim Number: 034112005 Policy Number: 64322400003 Company Name: Arbella Mutual Insurance Company Date of Loss: 05/28/2020 Insured: DAVID KATZ Property Location: 73 MASSASOIT ST, NORTHAMPTON, 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 313 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