HomeMy WebLinkAboutNotice of Loss 81122 THENORFOLIDEDHAMGROUP®
Norfolk& Dedham Mutual Fire Insurance Co. Dorchester Mutual Insurance Co. Fitchburg Mutual Insurance Co.
August 12, 2022
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 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 E CEIVED
c/o City or Town Hall
1146 Route 28 e 'T 15 2022
South Yarmouth, MA 02664 AUG
gVILDING RE: Our File No.: P2200954 ----------
Insured: GEORGE EDWARDS
PATRICIA EDWARDS DEPA
RTMENT
Address: 2 PARSONAGE POINT, YARMOUTH PORT, MA
Policy No.: H2193519A
Loss Date: 08/11/2022
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,
Laurie A Fernandes
Senior Property Claims Examiner
1-800-688-1825 x1238
Home Office
222 Ames Street,P.O.Box 9109IN
Mid-Atlantic
Dedham,MA 02027-9109 50 Division Street,Suite 400
Phone:(800)688.1825 SINCE 1825 Somerville,NJ 08876
www.ndgroup.com