19 Insurance Loss 2021LaMarche Associates
1482 North Main Street, P.O. Box 840
Palmer, MA 01069
800-222-0143
Fax: 413-289-1249
January 25, 2021
Building Commissioner/Inspector of Buildings
Northampton, MA 01060
Board of Health/Board of Selectmen
Northampton, MA 01060
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:Claude Bzdel
Loss Location:19 Hatfield Street
Northampton, MA 01060
Policy Number:HP354756
Date of Loss:12/26/2020
Cause of Loss:Water
LA File Number:MA-1-28355
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.
Ian Young
Adjuster
LaMarche Associates, Inc. - 800-222-0143Page 1 of 1