HomeMy WebLinkAboutNotice of Loss 122323 THENORFOLNODEDHAMGROUP®
Norfolk&Dedham Mutual Fire Insurance Co. Dorchester Mutual Insurance Co. Fitchburg Mutual Insurance Co.
December 27, 2023
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 REIVED
EC
Board of Health or Board of Selectmen DE-C 2 9 2023
do City or Town Hall
1146 Route 28 South BUILDING DEPARTMENT
By -- --
Yarmouth, MA 02664
Fire Department or Arson Squad
do City or Town Hall
1146 Route 28 South
Yarmouth, MA 02664
RE: Our File No.: P2322447
Insured: PAULINE MARINO-FROLING
Address: 10 OCEAN SPRAY LANE, WEST YARMOUTH, MA
Policy No.: H2120002A
Loss Date: 12/23/2023
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 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.
ft'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,
Deborah Hopkinson
Sr. Staff Appraiser/Adjuster
1-800-688-1825 x1713
Home Office
222 Ames Street,P.O.Box 9109
Dedham,MA 02027-9109 SINCE 1825
Phone:(800)688.1825