296 Insurance Loss 12-2020LaMarche Associates
1482 North Main Street, P.O. Box 840
Palmer, MA 01069
800-222-0143
Fax: 413-289-1249
December 17, 2020
Building Commissioner/Inspector of Buildings
Florence, MA 01062-9780
Board of Health/Board of Selectmen
Florence, MA 01062-9780
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:Kimberly Arra & Adam Lesko
Loss Location:296 Sylvester Road
Florence, MA 01062-9780
Policy Number:PH00100954799
Date of Loss:12/17/2020
Cause of Loss:Ice and Snow
LA File Number:MA-1-28297
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.
Timothy Kendrick
Adjuster
LaMarche Associates, Inc. - 800-222-0143Page 1 of 1