64 Casualty Loss to Building 2016 LaMarche Associates
1482 North Main Street, P.O. Box 840
Palmer, MA 01069
800-222-0143
Fax: 413-289-1249
lune 6, 2016
uilding Commissioner/Inspector of Buildings
.orthampton, MA 01060
oard of Health/Board of Selectmen
lorthampton, MA 01060
NOTICE OF CASUALTY LOSS TO BUILDING
UNDER MASSACHUSETTS GENERAL LAWS, CHAPTER 139, SECTION 3B
:laim has been made involving loss, damage or destruction of the property captioned below, which
-lay either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143, Section 6 to be
pplicable. If any notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate,
lease direct it to the attention of the writer and include a reference to the captioned insured,
)cation, policy number, date of loss, cause of loss and LA file number.
Insured:
Loss Location:
Policy Number:
Date of Loss:
Cause of Loss:
Bixby Court Condominium
64 Halwey Street Unit A
Northampton, MA 01060
80109776
06/05/2016
Water
LA File Number: MA-1-25621
Dn 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.
Scott Patton
Adjuster