14-16 Park Street 7-11-20 claim LaMarche Associates
5 North Road, P.O. Box 250
Chelmsford, MA 01824
800-349-1525
Fax: 978-256-8590
July 20, 2020
Building Commissioner/Inspector of Buildings
Salem, MA 01970
Board of Health/Board of Selectmen
Salem, MA 01970
NOTICE OF CASUALTY LOSS TO BUILDING
UNDER MASSACHUSETTS GENERAL LAWS, CHAPTER 139, SECTION 313
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., Chanter
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: Frank Valentino
Loss Location: 14-16 Park Street
Salem, MA 01970
Policy Number: BP21040349
Date of Loss: 07/11/2020
Cause of Loss: Water
LA File Number: MA-2-38190
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.
Tony Rossetti
pp Adjuster
R LCCI Y ED
J U L 10 2020
CITY OF SALEM
BOARD OF HEALTH
LaMarche Associates,Inc.-800-349-1525
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