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51 1/2 Insurance Loss 2020H ARBELLA° INSURANCE GROUP October 15, 2020 NORTHAMPTON HEALTH DEPARTMENT CITY GOVERNMENT OFFICE 212 MAIN STREET #101 NORTHAMPTON, MA 01060 -__-Claim Number: 034140094 Policy Number: 37873400002 Company Name: Arbella Mutual Insurance Company Date of Loss: 10/12/2020 Insured: NANCY WARD Property Location: 511/2 HATFIELD ST UNIT 7, 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, Karen Kimball Claim Service Specialist Property Claim Office 800-272-3552 ext. 7398 Fax 617-773-4760