2 WAITE STREET 11-1-14 CLAIM NEW ENGLAND CLAIMS SERVICE,,-INC.
El Incorporated 1985 ❑
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Mansfield, MA 02048 131 Dodge Street, Suite 6
P.O. Box 345 r SSMAN-M Beverly, MA 01915
,ir'DEPLf+OENT
TEL. {508}337-8058 AE TEL. {978}927-3000
93USiEA
FAX{508)339-5835 ' FAX{978}927-3002
wrandall,'-@newenp,landclaims.com
Form of Notice of Casualty Loss to Building
Under MASS. GEN. LAWS, Ch. 139, Sec 3B
November 11, 2014.
To: Building Commissioner or
Inspector of Buildings
City Hall j
Salem, MA 01970 -o0 7) 7 20OP
RE: Insured: Bezzati, John J. Jr., &Joann Rp OF y A<
N
Property Address: 2 Waite Street
Cause of Loss/Date: Wind 11/l/2014
File or Claim No: BOS052957
Claire has beer. mad- involving loss, damage or destruction of the above captioned property,
which may either exceed $1,000.00 or cause MASSACHUSETTS GENERAL LAWS,
CHAPTER 143, SECTION 6, to be applicable. If any notice under MASSACHUSETTS
GENERAL LAWS, CHAPTER 139, SECTION 3B is appropriate,please direct it to the attention
of the writer and include a reference to the captioned insured, location, policy number, date of
loss and claim or file number.
Section 3B. No insurer shall pay any claims (1) covering the loss, damage, or destruction to a
building or other structure, amounting to one thousand dollars or more, or(2) covering any loss,
damage or destruction of any amount, which causes the condition of a building or other structure
to render section six of chapter one hundred and forty-three applicable, without having at least
ten days previously given written notice to the building commissioner or inspector of buildings
appointed pursuant to the state building code,to the fire department or arson squad of the city or
town and to the board of health or board of selectmen of the city or town in which the same is
located. If at any time prior to payment the said city or town notifies the insurer by certified mail
of its intent to initiate proceedings designed to perfect a lien pursuant to section three A, or to
section nine of chapter one hundred and forty-three, or section one hundred and twenty-seven B
of chapter one hundred and eleven, the said payment shall not be made while the said
proceedings are pending;provided, however, that said proceedings are initiated within thirty
days of receipt of such notification.
Any lien perfected pursuant to section three A, or to section nine of chapter one hundred and
forty-three or section one hundred and twenty-seven B of chapter one hundred and eleven, shall
extend to and may be enforced by the city or town against any casualty insurance policy or
policies covering any loss, damage, or destruction pursuant to which the proceedings to perfect
the lien were initiated.
No insurer shall be liable to any insured owner, mortgagee, assignee, city or town, or other
interested party for amounts disbursed to a city or town under the provisions of this section, or
for amounts not disbursed to a city or town under the provisions of this section.
Paul A. Dionne
General Adjuster
On this date, I caused copies of this Notice to be sent to the persons named above at the
addresses indicated above by First Class Mail.
Signature Date