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Home My WebLink AboutNotice of Loss 7/1/25 THENORFOLNO0DEDHAMGROUP® Norfolk&Dedham Mutual Fire Insurance Co. Dorchester Mutual Insurance Co. Fitchburg Mutual Insurance Co. July 17,2025 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 c/o 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 RECEIVED Yarmouth,MA 02664 JUL 21 2025 RE: Our File No.: P2559564 BUILDING DEPARTMENT Insured: GREGORY MACISAAC By LOIS MACISAAC Address: 16 NANAS WAY,WEST YARMOUTH,MA Policy No.: H2233849A Loss Date: 07/01/2025 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, Elizabeth N.Gagnon Property Claims Adjuster 1-800-688-1825 x1220 Home Office 222 Ames Street,P.O.Box 9109 SINCE 1825 Dedham,MA 02027.9109 Phone:(800)688.1825 F� I