HomeMy WebLinkAboutNotice of Loss 040724 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108.1904
(617)723-3800 Ma Only(800)392-6108, FAX(800)851-8424
4/13/2024
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.3B
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YARMOUTH BUILDING DEPT
1146 ROUTE 28 APR 1 g 2024
SOUTH YARMOUTH MA 02664 1 .,1
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Re: Insured: REXNORD JEAN
Property Address: 72 POND ST,S YARMOUTH, MA 02664
Policy Number: 1546307
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 04/07/2024
Claim Number: 479292
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