2 ADMIRALS LANE 1-19-25 CLAIMLaMarche Associ ates, I nc. - 800-222-0143Page 1 o f 1
LaMarche Associates
P.O. Box 840
Palmer, MA 01069
413-289-1243
Fax: 413-289-1249
January 21, 2025
Building Commisioner/Inspector of Buildings
Salem, MA 01 970-684 4
Fire Department/Arson Squad
Salem, MA 01 970-684 4
Board of Health/Board of Selectmen
Salem, MA 01 970-684 4
NOTICE OF CASUALTY LOSS TO BUILDING
UNDER MASSA C H USETTS GEN ER AL LAW S, CH APTER 13 9 , SEC TI ON 3 B
Claim has been made involving loss, damage or destruction of the property captioned below,
which may either exceed $1,000.00 or cause Massachuse tts Ge ne ral Laws, Chapte r 143 ,
Se ction 6 to be applicable. If any notice under Massachuse tts Ge ne ral Laws, Chapte r 1 39,
Se ction 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:Mariner Village Condominium trust
Loss Location:2 Admirals Lane A/K/A 2 - 8 Admirals lane
Salem, MA 0 197 0-68 44
Policy Number:11 20D49891
Date of Loss:01 /19/2025
Cause of Loss:Water
LA File Number:MA-2-4520 1
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.
Kris Kirkpatrick
Adjuster