34 Ins Loss 1-18-20 RESIDENTIAL&COMMERCIAL ADJUSTERS
60 COTTAGE STREET
EASTHAMPTON,MA 01027
PHONE 413-282-0150 TOLL FREE 800-791-5432
�. ---- FAX 413-527 5144
ADVANCED
ADJUSTAa EmT SzRvzcz,Imc...
January 20, 2020
Board of Health or Board:of Selectmen
c/o Town Offices
210 Main St.
Northampton, MA 01060
NOTIFICATION UNDER M.G.L. c. 139,_§311
Re: Insured: Stultz, Richard&Joanne
Policy#: HP31394-41
'Date of Loss:. 01/18/2020
Type of Loss: Burst pipe water damage
yOur File: 20-01035-10P37
Loss Loc.: 34 Calvin Ter. ,Northampton, MA 01060
To Whom It May Concern:
Advanced Adjustment Service, Inc., is the independent adjuster retained by Merrimack Mutual
Fire Insurance Co.to investigate and adjust the captioned claim for damage to a building or other
structure at the property listed above.
Pursuant to M. G.L. c. 139, §313, Merrimack Mutual Fire Insurance Co. hereby notifies you that
payment of$1,000.00 or.more may be made in connection with the captioned claim. If the
city/town intends to initiate proceedings under M. G. L. c. 139, §3A; c. 143, §9, or c. 111;
§127B,please forward the notice reqaired under M. G. L. c. 139, §3B,to my attention_ within the
time provided under that statute.
Sincerely,
Jerry Zanarini Ext. 22202
Advanced Adjustment Service, Inc.
cc: Merrimack Mutual Fire Insurance Co.
JZ:sm