23 Insurance Loss 2021J
Phone: 978-632-2660
JAMES A. TRUDEAU
Adjustment Service Inc.
P. O. Box 7
Fax: 978-632-2662
Gardner, MA 01440
claims (a,trudeauad xom
Notice of Casualty Loss of Building
Under Massachusetts General Laws, Chapter 139, Section 313
March 18, 2021
Building Inspector
212 Main Street
#100
Northampton, MA 01060
Board of Health
212 Main Street
#101
Northampton, MA 01060
Fire Department
Department of Records
26 Carlon Drive
Northampton, MA 01060
Insured:
Joseph & Pamela Begley
Loss Location:
23 Crestview Drive, Northampton, MA 01062
Insurance Company:
The Concord Group Ins. Companies
Policy No.:
1295712
Date of Loss:
March 13, 2021
File Number:
21-19023
Claim Number:
30014435
Type of Loss:
Water Damage
Claim has been made involving loss, damage, or destruction of the above captioned property, which may either
exceed $1.000.00 or cause "Mass Gen Laws. Chapter 143, Section 6" to be applicable. If any notice under "Mass.
Gen Laws Chapter 139, Section 313" is appropriate, please direct it to the writer and include a reference to the
captioned insured, location, policy number, date of loss, and file or claim number.
Claim has been made involving loss, damage or destruction of the above -captioned property, which may
exceed $5000. If any notice under Massachusetts General Laws Chapter 175, Section 97A is appropriate,
please direct it to the attention of this writer and include a reference to the above -captioned insured,
location, policy number, date of loss and claim number.
On this date, I cause copies of this notice to be sent to the person(s) named above at the address indicated by first
class mail.
Sincerely,
Justen hires
Claims Adjuster