HomeMy WebLinkAboutNotice of Loss 90123 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston,Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108, FAX(800)851-8424
9/16/2023
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.3B
RECEIVED
YARMOUTH BUILDING DEPT
1146 ROUTE 28 SEE 2 2 2023
SOUTH YARMOUTH MA 02664
BUILDING DEPARTMENT
By
Re: Insured: THOMAS AND ROSALIE NEWMAN
Property Address: 16 OLD SAGA DRIVE, SOUTH YARMOUTH, MA 02664
Policy Number: 0969127
Type Loss: Other Causes of consequential Mold
Date of Loss: 09/01/2023
Claim Number: 475118
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