HomeMy WebLinkAboutNotice of Loss 9/29/26 THENORFOLIcdDEDHAMGROUP®
'--folk & Dedham Mutual Fire Insurance Co. Dorchester Mutual Insurance Co. Fitchburg Mutual Insurance Co.
October 3, 2026
FORM OF NOTICE OF CASUALTY LOSS TO BUILDING
UNDER MASS. GEN. LAWS, CH. 139, SEC. 3B wb'
Building Commissioner, or Inspector of Buildings OCT 07 2026
do City or Town Hall Lu�
1146 Route 28 BUILDING DEPARTMENT
South Yarmouth, MA 02664 By : .. _. --
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.: P2683615
Insured: JEANMARIE O'CLAIR
Address: 59 STRATFORD LANE, YARMOUTH PORT, MA
Policy No.: H1656160A
Loss Date: 09/29/2026
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 IND
222 Ames Street, P.O. Box 9109 SINCE 1825
Dedham,MA 02027-9109
Phone:(800)688.1825