HomeMy WebLinkAboutNotice of Loss 10/25/25 THENORFOLI ODEDHAMGROUP®
Norfolk&Dedham Mutual Fire Insurance Co. Dorchester Mutual Insurance Co. Fitchburg Mutual Insurance Co.
October 28,2025
FORM OF NOTICE OF CASUALTY LOSS TO BUILDING
UNDER MASS.GEN.LAWS,CH.139,SEC.3B
Building Commissioner,or Inspector of Buildings —•- , — 1
c/o City or Town Hall RE___C E t E 0
1146 Route 28
South Yarmouth,MA 02664 LCT 3 U 2025
Board of Health or Board of Selectmen BUILDING CEPARTMENT
c/o City or Town Hall a,
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.: P2565042
Insured: PATRICIA ZARRELLI
Address: 128 CAPTAIN NOYES ROAD,SOUTH YARMOUTH,MA
Policy No.: H2236233A
Loss Date: 10/25/2025
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 �n
Home Office ■
222 Ames Street,P.O.Box 9109 SINCE 1825
Dedham,MA 02027-9109
Phone:(800)688.1825