HomeMy WebLinkAboutINSURANCE LOSS MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108.1904
(617)723.3800 Ma Only(800)392.6108. FAX(800)851-8424
12/3/2022
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: COLEMAN & ROBERTA KELLEY. TRUSTEES COLEM
Property Address: 246 KATES PATH,YARMOUTHPORT, MA 02675
Policy Number: 1449033
Type Loss: Water Damage: All Other Water Damage
Date of Loss: 11/29/2022
Claim Number: 468691
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
RECEIVE13
DEC 09 422 _\
BUILDING'DEPARTMENT
By.
MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(6171723.3800 Ma Only(8001392-6108. FAX(800)851-8424
12/3/2022
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: STEVEN REYNOLDS, LENA RYAN &
Property Address: 274 WINSLOW GRAY RD, WEST YARMOUTH, MA 02673
Policy Number: 1549596
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 10/04/2022
Claim Number: 468618
Claim has been made involving loss,damage or destruction of the above captioned property,which may either
exceed $1000.00 or cause Massachusetts Genera 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
R E Y I V E
D
DEC 09 2022
BUILDING DEPARTMENT