2A HAZEL STREET UNIT 1_ LOSS CLAIM 7-20-24 THENORFOLIC-fl-'DEDHAMGROUP®
Norfolk$Dedham Mutual Fire Insurance Co. Dorchester Mutual Insurance Co. Fitchburg
July 23, 2024
Mutual Insurance Co.
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
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.: P2440201
Insured: 2A HAZEL STREET CONDOMINUM
C/O GRANT MURPHY
Address: 2A HAZEL ST STE 1, SALEM, MA
Policy No.: R1449682A
Loss Date: 07/20/2024
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.
William L. Lamb
Manager, Property Claims
100 688-1825 x1137
Home ce
222 Ames Street,P.O.Box Sias
Dedham.MA 02027.9109 SINCE 1825
Phone.(500)688.1825