91 Insurance Loss 7-21-20Building Commissioner/Inspector of P' "
Northampton, MA 01060
Board of Health/Board of Selectmen
Northampton, MA 01060
-I NOTICE -OF
LaMarche Associates
1482 North Main Street, P.O. Box 840
Palmer, MA 01069
800-222-0143
Fax: 413-289-1249
TO -BUILDING
July 22, 2020
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: Maiewski Real Estate
Loss Location: 91 Crescent Street
Northampton, MA 01060
Policy Number: BP28002522
Date of Loss: 07/21/2020
Cause of Loss: Water
LA File Number: MA -1-27892
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
LaMarche Associates, Inc. - 000.222-0143
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