1-3 Insurance Notice of Damage LaMarche Associates
1482 North Main Street, P.O. Box 840
Palmer, MA 01069
800-222-0143
Fax: 413-289-1249
December 27, 2016
Building Commissioner/Inspector of Buildings
FLORENCE, MA 01062
Board of Health/Board of Selectmen
FLORENCE, MA 01062
NOTICE OF CASUALTY LOSS TO BUILDING
UNDER MASSACHUSETTS GENERAL LAWS, CHAPTER 139, SECTION 3B
Claim has been made involving loss, damage or destruction of the property captioned
below, which may either exceed 51,000.00 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 LA file number.
Insured: VALLEY GO WEST LLC
Loss Location: 1-3 N. MAIN STREET
FLORENCE, MA 01062
Policy Number: B0202357
Date of Loss: 12/20/2016
Cause of Loss: Water
LA File Number: MA-1-25861
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.
John Murray
Adjuster
LaMarche Associates,::no}c.-8CC-222-3143
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