10 DANIELS ST_1.19.24_CLAIM THENORFOL VrDEDHAM13 ROUP®
Norfolk & Dedham Mutual Fire Insurance Co. Dorchester Mutual Insu
January 23, 2024 rance Co. Fitchburg Mutual Insurance Co.
FORM OF NOTICE OF CASUALTY LOSS TO BUILDING
UNDER MASS. GEN. LAWS, CH. 139, SEC. 36
Building Commissioner, or Inspector of Buildings
c/o City or Town Hall
93 Washington St.
Salem, MA 01970
Board of Health or Board of Selectmen
C/O City or Town Hall
93 Washington St.
Salem, MA 01970
Fire Department or Arson Squad
C/O City or Town Hall
93 Washington St.
Salem, MA 01970
RE: Our File No.: P2423933
Insured: GRAPEVINE ARBOR CONDOMINIUM
Address:
Policy No.: 10DANIELS ST, SALEM, MA
R203249432494A
Loss Date: 01/19/2024
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 Mass. Gen. Laws, Ch. 139, Sec. 3B is , Sec. 6 to be
apo my plibattention and tinclude ice und a reference to the captioned insured, location, Policy number, to st
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,
Dawn L. Parmeggiani
Senior Property Claims Examiner
1-800-688-1825 x1119 Home Office A■w■
222 Ames Street,P.O.Box 91o9 to.
Dedham,MA 02027-9109 S'NCE 1825
Phone:(SW1 5M.1825