238 Insurance Loss 2019 (2) 1100 Crown Colony Drive
P.O.Box 699195
A�t B E L LA Quincy, MA 02269-9195
617.328.2800
INSURANCE GROUP arbella.com
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August 15, 2019
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NORTHAMPTON BUIIJDING COMMISSIONER
CITY GOVERNMENT OFFICE
212 MAIN STREET#106
NORTHAMPTON, MA 101060
Claim Number: 034048512
Policy Number: 47788400003
Company Name: Arbella Mutual Insurance Company
Date of Loss: 08%08/2019
Insured: MICHAEL MASAMITSU
Property Location: 238 CARDINAL WAY, FLORENCE, 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 Mass chusetts 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,
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Sarah Monaco
Claim Service Specialist
Property Claim Office
800-272-3552 ext. 7323
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, I A 01060