94 Insurance Loss 2020HIE
ARBE LLA"
INSURANCE GROUP
December 31, 2020
NORTHAMPTON HEALTH DEPARTMENT
CITY GOVERNMENT OFFICE
212 MAIN STREET #101
NORTHAMPTON, MA 01060
Claim -Number:
034155479
Policy Number:
83517400000
Company Name:
Arbella Mutual Insurance Company
Date of Loss:
12/29/2020
Insured:
WILLIAM LASHWAY
Property Location:
94 AUDUBON ROAD, LEEDS, MA
To Whom It May Concern:
1100 Crown Colony Drive
P.O. Box 699195
Quincy, MA 02269-9195
617.328.2800
arbellaxom
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,
Marc Lindell
Claim Service Specialist
Property Claim Office
800-272-3552 ext. 6867
Fax 617-773-4760