504 Insurance Loss 3-2023Building Inspector
Board of Health
212 Main St
Northampton, MA 01060
UNION MUTUAL
Live life well protected
March 31, 2023
MASSACHUSETTS GENERAL LAWS,
CHAPTER 139 LETTER
RE: Insured: Shwetaben D. Patel & Prashant R Christian
Dba- North King Motel
Loss Location: 504 North King St
Northampton, MA
Policy Number: B0Por76009
Date of Loss: 3/1/23
Type of Loss: Freeze
Claim #: CLM63031
Dear Sir or Madam:
A claim has been made involving loss, damage or destruction of the property captioned above,
which may either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143, Section
6 to be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 3B is
appropriate, please direct it to the attention of the writer and include a reference to the
captioned insured, location, policy number date of loss, cause of loss and claim number.
On this date, I caused copies of this notice to be sent to the persons named above at the
addresses indicated above by first class mail.
Sincerely,
Tom Abel
Regional General Adjuster
1-800-671-855o ext. 625
tabel@unionmutual.com
Union Mutual Fire Insurance Company
Community Mutual Insurance Company
New England Guaranty Insurance Company, Inc.
139 State Street, P.O. Box 158
Montpelier, VT 056o1
800-300-5261
www.unionmutual.coni
orce,