HomeMy WebLinkAboutNotice of Loss 101422 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108, FAX(800)851-8424
11/5/2022
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.3B
YARMOUTH BUILDING DEPT E C E V
1146 ROUTE 28
SOUTH YARMOUTH MA 02664 NOV 1 0 2022
BUILDING DEPARTMENT
By' --
Re: Insured: MARK OCONNELL
Property Address: 183 S SHORE DRIVE UNIT A2, SOUTH YARMOUTH, MA 02664
Policy Number: 1230287
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 10/14/2022
Claim Number: 468337
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