230 Notification 2016 AdvancedAd ustment Service, Inc.
Property and Liability Adjusters
60 Cottage Street, Easthampton, MA 01027
Phone: 413-282-0150 Tar„ 413-527-5144
7011 Tree: 800-791-5432
November 2, 2016
Building Commissioner or Inspector of Buildings
c/o Town Offices
210 Main St.
Northampton, MA 01060
Re: Insured:
Policy#:
Date of Loss:
Type of Loss:
Our File:
Loss Loc.:
NOTIFICATION UNDER M.G.L.c. 139, §3B
Lesko,Leona N.
HP1717423
11/01/2016
Leak from bathroom causing water damage below
16-11007-00P30
230 North Main St.,Florence,MA 01062
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, §3B, 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 required under M. G. L. c. 139, §3B, to my attention within the
time provided under that statute.
Sincerely,
le
ft
1 t.22d7
Advanced Adjustment Service, Inc.
cc: Merrimack Mutual Fire Insurance Co.
JP:sw
Advanced Adjustment Service, Inc.
Property and Liability Adjusters
60 Cottage Street, Easthampton, MA 01027
Phone: 413-282-0150 Pax;' 413-527-5144
Toff Tree: 800-791-5432
ovember 2, 2016
oard of Health or Board of Selectmen
'o Town Offices
10 Main St.
Iorthampton,MA 01060
te: Insured:
Policy#:
Date of Loss:
Type of Loss
Our File:
Loss Loc.:
NOTIFICATION UNDER M. G.L. c. 139, §3B
Lesko, Leona N.
HP1717423
11/01/2016
Leak from bathroom causing water damage below
16-11007-00P30
230 North Main St.,Florence,MA 01062
Fo 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, §3B, 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 required under M. G. L. c. 139, §3B,to my attention within the
time provided under that statute.
Sincerely,
Jet o oli Ext.02209
Ad need Adjustment Service, Inc.
cc: Merrimack Mutual Fire Insurance Co.
JP:sw