129 Claim Involving Loss Letter 2016 W. Springfield, MA
(413)781-2897
Quincy, MA
(617)479-2619
Mattapoisett, MA
(508)758-6633
Rhode Island
(888)881-4598
Building Commissioner or
Inspector of Buildings
Northampton Town Hall
210 Main Street
Northampton, MA 01060
Attention: Records
COMPANY:
POLICY NUMBER:
CLAIM NUMBER:
INSURED:
LOSS LOCATION:
DATE OF LOSS:
DESCRIPTION:
OUR FILE NUMBER:
Gentlemen:
BUTLER
Board of Health or
Board of Selectmen
Northampton Town Hall
210 Main Street
Northampton, MA 01060
Attention: Records
MAPFRE Insurance
H BCYXTR
MJCK68-JXKRR2
Stephen Corbett
129 Spruce Hill Avenue, Florence, MA
02/01/2016
Water
S16-53441
Pittsfield, MA
(888)881-4598
Worcester, MA
(888)881-4598
Cape Cod 8 Islands
(888)881-4598
Hartford, CT
(888)881-4598
Claim has been made involving loss, damage, or destruction of the above captioned property which
may either exceed $1,000, or cause Massachusetts General Law, 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 this writer and include a reference to the captioned
insured, location, policy number, company claim number, date of loss, and claim or file number.
ely,
Steve ennedy
Claims Adjuster
P—413-781-2897
F—413-731-5553
Steve.kennedy @georgebutleradjusters.com
On this date, I caused copies of this notice to be sent to the persons named above at the address
indicated above, by first class mail.
Secretary
April 28, 2016
209 Park Avenue.Wes( Springfield,MA 01089