HomeMy WebLinkAboutProperty Loss Notice 2022 (2) MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108. FAX(800)851-8424
10/29/2022
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.3B
YARMOUTH HEALTH DEPT
1146 ROUTE 28
SOUTH YARMOUTH MA 02664
Re: Insured: GEORGE&HEATHER WARNER
Property Address: 12 SUFFOLK AVE,YARMOUTH, MA 02673
Policy Number: 0773100
Type Loss: Water Damage:All Other Water Damage G_�: uVlsL7
Date of Loss: 10/22/2022 NOV 0 3 2022
Claim Number: 468157
HEALTH DEPT,
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.
MPIUA Claims Division
CMA00021