HomeMy WebLinkAboutNotice of Loss 2423 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston,Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108, FAX(800)851-8424
2/18/2023
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139,Sec.3B
YARMOUTH BUILDING DEPT RECEIVED
1146 ROUTE 28 ---------w
SOUTH YARMOUTH MA 02664 FEB 24 2023
BUILDING DEPARTMENT
By:
Re: Insured: GERALD CAPALDI AND ANNA CAPALDI
Property Address: 10 ELIZABETH LN,WEST YARMOUTH, MA 02673
Policy Number: 1608914
Type Loss: Freezing
Date of Loss: 02/04/2023
Claim Number: 471027
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