HomeMy WebLinkAboutNotice of Loss121823 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108, FAX(800)851-8424
12/23/2023
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.3B
YARMOUTH BUILDING DEPT
1146 ROUTE 28 R. E C E P :7--D
SOUTH YARMOUTH MA 02664
AN 02 2024 1
BUILDING DEPARTMENT
8Y —
Re: Insured: KENNETH RODGERS
Property Address: 11 NORTH COVE LANDING, SOUTH YARMOUTH, MA 02664
Policy Number: 1639157
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 12/18/2023
Claim Number: 476989
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