HomeMy WebLinkAboutNotice of Loss 2523 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(6171723.3800 Ma Only(800)392-6108,FAX(800)851-8424
7/29/2023
Form of Notice of Casualty Loss to Buildings Under Mass.Mass. Gen. Laws, Ch.139, Sec.3B r-"- D
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A,,, 02 2023
YARMOUTH BUILDING DEPT °yam_ • -�s ; r
1146 ROUTE 28
SOUTH YARMOUTH MA 02664
Re: Insured: ANGELO A, CALAGIONE
Property Address: 34 DRIFTWOOD LN,YARMOUTH, MA 02675
Policy Number: 0779705
Type Loss: Other Causes of consequential Mold
Date of Loss: 02/05/2023
Claim Number: 473947
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