HomeMy WebLinkAboutNotice of Loss 22624 THENORFOLfç .'DEDHAMGROUP®
Norfolk& Dedham Mutual Fire Insurance Co. Dorchester Mutual Insurance Co. Fitchburg Mutual Insurance Co.
March 22, 2024
FORM OF NOTICE OF CASUALTY LOSS TO BUILDING
UNDER MASS. GEN. LAWS, CH. 139, SEC. 3B
Building Commissioner, or Inspector of Buildings
c/o City or Town Hall
1146 Route 28
South Yarmouth, MA 02664
Board of Health or Board of Selectmen
c/o City or Town Hall
1146 Route 28
South Yarmouth, MA 02664
Fire Department or Arson Squad
c/o City or Town Hall
1146 Route 28
South Yarmouth, MA 02664
RE: Our File No.: P2426774
Insured: NICOLETTE ASACK
42 MELVILLE ROAD
Address: 5B, SOUTH YARMOUTH, MA
Policy No.: H2113267A
Loss Date: 02/26/2024
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.
vez60:14
RECEIVED
William Lamb MAR 25 2024
Manager, Property Claims
BUILDING DEPARTMENT
1-800-688-1825 x1137 Br. — —.
Home Office
222 Ames Street,P.O.Box 9109 SINCE 1825
Dedham,MA 02027-9109
Phone:(800)688.1825