HomeMy WebLinkAboutClaim of Loss - 11/5/2018 -
FRIEDLINE&CARTER ADJUSTMENT, INC.
436 Main Street, P. 0. Box 338
Hyannis,Massachusetts 02601
Tel. (508) 771-3232
FAX (508) 790-2344
TO: ( Building Commissioner or Inspector of Buildings
O Board of Health or Board of Selectmen
( ) Fire Department
TOWN OF YARMOUTH
TOWN HALL
YARMOUTH, MA
•
RE: Insured: OFF BROADWAY REALTY TRUST
Property Address: 50 Broadway St
West Yarmouth, MA 02673
Policy Number: DM00096305 •
Type of Loss: Mold
Date of Loss: 11/5/2018
Fite#: 130555
Claim has been made involving loss, damage or destruction of the above captioned
property,which may either exceed $1,000.00 or cause Mass. General Laws, Chapter 143,
Section 6 to be applicable. If any notice under MGL, Ch. 139, Sec. 3B is appropriate,
please direct it to the attention of this writer and include a reference to the captioned
insured, location, policy number, date of loss and file number.
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.
J. DEWEY
Adjuster
11/6/2018 •