165 Insurance Loss 2020W. 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
City of Northampton
210 Main Street
Northampton, MA 01060
Attention: Records
COMPANY:
POLICY NUMBER:
CLAIM NUMBER:
INSURED:
LOSS LOCATION:
DATE OF LOSS:
DESCRIPTION:
OUR FILE NUMBER:
To Whom It May Concern:
Board of Health or
Board of Selectmen
City of Northampton
210 Main Street
Northampton, MA 01060
Attention: Records
Preferred Mutual
PDF 0100543301
20115016
Amelia C. Novotny & Benjamin C. Levy
165 Crescent Street, Northampton, MA
08/05/2020
Felled Tree
P20-10903
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 313, 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.
Sincerely,
Tom Murphy
Claims Adjuster
P — 413-774-5124 / C: 413-824-4201
F — 413-774-5124
tom.murphy@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
September 8, 2020
209 Park Avenue, West Springfield, MA 01089