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300 Insurance Loss 2020
August 12, 2020 Building Commissioner or Inspector of Buildings Fire Department or Arson Squad Board of Health or Board of Selectmen City Hall NORTHAMPTON, MA 01060 RE: Claim Number: Insured(s): Property Address: Policy Number: Date of Loss: MENUITITOWN JOSE LEANDRO YUNGA 300 HATFIELD STREET, NORTHAMPTON, MA 01060 HMA0479615 August 4, 2020 Notice of Loss Under M.G.L. c. 139. 4 3B This communication shall serve as written notice pursuant to M.G.L. c. 139, § 3B that [Safety Insurance Company] ("Safety") has received a claim involving loss, damage or destruction to a building or other structure at the above -reference address which may either: (1) meet or exceed $1,000; or (2) cause the condition or the building or other structure to render M.G.L. c. 143 § 6 applicable. In accordance with M.G.L. c. 139, § 313, if the city or town intends to initiate proceedings designed to perfect a lien under Section 3B, M.G.L. c. 143, §9 or M.G.L. c. 111, § 127B, please notify Safety of the same by certified mail. Kindly forward such notice to my attention, at the address indicated above, and include with such notice a reference to the above-described insured, property address, policy number and claim number. If you have any questions regarding this notice, please feel free to contact me directly by email at BryanSavosik@Safetylnsurance.com or by phone at 800-951-2100 x2070. Sincerely, Bryan Savosik Property Claims Adjuster Safety Insurance P.O. Box 55098 Boston, MA 02205-5098 800-951-2100 We'll help you manage life's storms© 13 0 goN 010_c139