90 insurance loss 2017 .0
LaMarche Associates
1482 North Main Street, P.O. Box 840
Palmer, MA 01069
800-222-0143
Fax: 413-289-1249
July 24, 2017
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 $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 LA file number.
Insured: Florence Surgical Realty LLC
Loss Location: 90 Nonotuck Street Suite 101
Florence, MA 01062
Policy Number: BOP4428981
Date of Loss: 07/24/2017
Cause of Loss: Water
LA File Number: MA-1-26108
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.
Jeffrey Davenport
Adjuster
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