HomeMy WebLinkAboutNotice of Loss 102921 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108, FAX(800)851-8424
8/20/2022
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.3B
YARMOUTH BUILDING DEPT
1146ROUTE28 C , '
SOUTH YARMOUTH MA 02664 25 1022
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Re: Insured: PETER RODTS
Property Address: 11 HORSE WAY, SOUTH YARMOUTH, MA 02664
Policy Number: 0914146
Type Loss: Windstorm Other than Hurricane or Tornad
Date of Loss: 10/29/2021
Claim Number: 467037
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