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844 Insurance Loss 2020ARBELLA INSURANCE GROUP October 13, 2020 NORTHAMPTON HEALTH DEPARTMENT CITY GOVERNMENT OFFICE 212 MAIN STREET #101 NORTHAMPTON, MA 01060 Claim Number: Policy Number: Company Name: Date of Loss: Insured: Property Location: 601KI92801 8500068780 Arbella Protection Insurance Company 09/26/2020 SHIELD HOTEL MANAGEMENT LLC 844 NORTH KING ST, NORTHAMPTON, MA 1100 Crown Colony Drive P.O. Box 699103 Quincy, MA 02269-9103 617.328.2800 arbella.com 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. Kindly include a reference to the captioned insured, location, date of loss and claim number. Sincerely, Steven Chartier Claim Service Specialist Property Claim Office Phone 800-272-3552 x 7556 Fax 617-773-4760