HomeMy WebLinkAboutInsurance Claim MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston,Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108,FAX(800)851-8424
6/22/2019
Form of Notice of Casualty Loss to Building
Under Mass.Gen.Laws,Ch.139,Sec.3B R
YARMOUTH BUILDING DEPT JUN 27 2019
1146 ROUTE 28
SOUTH YARMOUTH MA 02664 BUILDING DEPARTMENT
By:
Re: Insured: MONTI DAY R.T.2003
Property Address: 250 LONG POND DRIVE,SOUTH YARMOUTH,MA 02664
Policy Number: 1056906
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 03/13/2018
Claim Number: 439098
Claim has been made involving loss,damage or destruction of the above captioned property,which may either
exceed$1000.00 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.
MPIIJA Claims Division
CMA00021