HomeMy WebLinkAboutInsurance Claim THENORFOLKO1DEDHAMGROUP,
October 8, 2019
FORM OF NOTICE OF CASUALTY LOSS TO BUILDING
UNDER MASS. GEN. LAWS, CH. 139, SEC. 3B
Building Commissioner, or Inspector of Buildings
do City or Town Hall
1146 Route 28 South
West Yarmouth, MA 02664
Board of Health or Board of Selectmen
do City or Town Hall
1146 Route 28 South
West Yarmouth, MA 02664
Fire Department or Arson Squad
do City or Town Hall
1146 Route 28 South
West Yarmouth, MA 02664
RE: Our File No.: P1961907
Insured: JOSEPH L FARICELLI
CAROLINA M FARICELLI
Address: 31 YELVERTON LANE, WEST YARMOUTH, MA
Policy No.: N0315518
Loss Date: 07/23/2019
Loss Type: Building or Other Structure Damage
A claim has been made involving loss, damage or destruction of the above captioned property,
which may either exceed $1,000.00 or cause Mass. Gen. Laws, Ch. 143, Sec. 6 to be
applicable. If any notice under Mass. Gen. Laws, Ch. 139, Sec. 3B is appropriate, please direct
it to my attention and include a reference to the captioned insured, location, policy number, loss
date and claim or file number.
If no reply is received from your office within ten days, we will assume you have no liens of any
type against this property, and the claim will be paid in our customary manner.
Sincerely,
Dawn L. Parmeggiani
Property Claims Examiner
1-800-688-1825 x1119
NORFOLK&DEDHAM MUTUAL FIRE INSURANCE CO. 222 Ames Street,P.O.Box 9109,Dedham,MA 02027-9109
DORCHESTER MUTUAL INSURANCE CO. Telephone:(800)688-1825
FITCHBURG MUTUAL INSURANCE CO. o Fax:(781)329-1818