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115 Insurance Loss 2021James Adjusting Inc. PO Box 188 Castleton, NY 12033 April 9, 2021 Board of Health or Board of Selectmen Town of Northampton c/o Board of Health 212 Main St 9101 Northampton, MA 01060 NOTIFICATION UNDER M. G. L. c. 139, §3B RE: National General Insurance Company Insured: Tapan Pujara & Chaitalee Ganatra Policy No.: 2004189796 Date of Loss: April 03, 2021 Dear Sir or Madam: James Adjusting Inc., is the independent adjuster retained by National General Insurance Company to investigate and adjust the captioned claim for damage to a building or other structure at the property at 115 Moser St. Pursuant to M. G. L. c. 139, §313, by National General Insurance Company hereby notifies you that payment of $1,000.00 or more may be made in connection with the captioned claim. If the Town of Northampton intends to initiate proceedings under M. G. L. C. 139, §3A, c. 143, §9, or c. 111, § 127B, please forward the notice required under M. G. L. c. 139, §313, to my attention within the time provided under that statute. Thank you for your attention. Very truly yours, James Adjusting Inc. Cc: National General Insurance Company Phone 518-506-5969 Fax 518-514-1141