HomeMy WebLinkAboutNotice of Loss 030323 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(6171 723-3800 Ma Only(8001 392-6108.FAX(8001 851-8424
3/11/2023
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.3B
YARMOUTH BUILDING DEPT R g; FIVE D7
1146 ROUTE 28
SOUTH YARMOUTH MA 02664 MAR 17 2023
aBUILDING-- D�PgkTryIEN L
y' -__
Re: Insured: DAVID AND CATHY OLIVERI TRUSTEES OF
Property Address: 26 ZEPHYR DR.,YARMOUTH PORT, MA 02675
Policy Number: 0895287
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 03/03/2023
Claim Number: 471482
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