165 NORTH STREET_ DAMANGE LOSS CLAIM 1-2-2025 THENORFOLIC-JIf7----*DEDHAMGROUPa
Norfolk& Dedham Mutual Fire Insurance Co. Dorchester Mutual Insurance Co. Fitchburg Mutual Insurance Co.
January 4, 2025
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% City or Town Hall
93 Washington St.
Salem, MA 01970
RE: Our File No.: P2548839
Insured: ONE SIXTY FIVE NORTH STREET
CONDO C/O SOPHIE GEES
Address: 165 NORTH STREET, SALEM, MA
Policy No.: R1658739A
Loss Date: 01/02/2025
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. 313 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,
Laurie A. Fernandes
Senior Property Claims Examiner
HomeoN$00-688-1825 x1238
222 Ames Street,P.O.Box 9109 AID
Dedham,MA 02027-9109 SINCE 1825
Phone:(800)688.1825