HomeMy WebLinkAboutInsurance Claims MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston,Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108,FAX(800)851-8424
7/17/2019
Form of Notice of Casualty Loss to Building
Under Mass.Gen.Laws,Ch.139,Sec.3B
YARMOUTH BUILDING DEPT
1146 ROUTE 28
SOUTH YARMOUTH MA 02664
Re: Insured: KENT A STOUT TRUSTEE OF THE MONICA T.
Property Address: 7 GROVE ST,WEST YARMOUTH, MA 02673
Policy Number: 0778709
Type Loss: Mold caused by:Water Damage
Date of Loss: 08/15/2017
Claim Number: 439624
Claim has been made involving loss,damage or destructionnsof the above optioned 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.
MPIUA Claims Division
CMA00021