HomeMy WebLinkAboutInsurance Claim MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston,Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108,FAX(8001 851-8424
8/30/2019
Form of Notice of Casualty Loss to Building
Under Mass.Gen.Laws,Ch.139L,Sec.3B
A
YARMOUTH BUILDING DEPT )1 -. =� ��
1146 ROUTE 28 �,r�, � it
n p r A y
SOUTH YARMOUTH MA 02664
Re: Insured: KENNETH LARNEY AND EILEEN M.ARMSTRONG-
Property Address: 24 EGG HARBOR ROAD,WEST YARMOUTH, MA 02673
Policy Number: 1458114
Type Loss: Windstorm due to:Tornado
Date of Loss: 07/23/2019
Claim Number: 442097
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,secs rn 6 to be applicable. If any
notice under Massachusetts General Laws,Chapter 139,Section 3B is app•ncri;ite.please direct it to the
attention of the writer and include a reference to the captioned insured,lor.i n,;^'icy number,date of loss
and claim or file number.
MPIUA Claims Division
CMA00021
x�r.. .