HomeMy WebLinkAboutNotice of loss 8923 THENORFOLIV DEDHAMGROUP®
Norfolk& Dedham Mutual Fire Insurance Co. Dorchester Mutual Insurance Co. Fitchburg Mutual Insurance Co.
August 12, 2023
FORM OF NOTICE OF CASUALTY LOSS TO BUILDING
UNDER MASS. GE:N. LAWS, CH. 139, SEC. 3B
Building Commissioner, or Inspector of Buildings
do City or Town Hall
1146 Route 28
South Yarmouth, MA 02664
Board of Health or Board of Selectmen
do City or Town Hall
1146 Route 28
South Yarmouth, MA 02664
Fire Department or Arson Squad
do City or Town Hall
1146 Route 28
South Yarmouth, MA 02664
RE: Our File No.: P2316142
Insured: ROSANGELA CALOIERO
JUBERTO DE.OLIVEIRA
Address: 29 OYSTER COVE RD, SOUTH YARMOUTH, MA
Policy No.: H2221706A
Loss Date: 08/09/2023
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 pause 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,
CEIVFD
Laurie A Fernandes
Senior Property Claims ExaminerUG 1 6 2023
1-800-688-1825 x1238
Home Office
222 Ames Street,P.O.Box 9109 SINCE 1825 BUILDING DEPARTMENT
Dedham,MA 02027-9109 By.
Phone:(800)688.1825 �—---