HomeMy WebLinkAboutNotice of Loss 21324 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392.6108, FAX(800)851.8424
4/27/2024
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.3B
YARMOUTH BUILDING DEPT
1146 ROUTE 28
SOUTH YARMOUTH MA 02664
Re: Insured: ARTHUR WARREN IV&JUDITH WARREN
Property Address: 2 SHORE RD.WEST YARMOUTH, MA 02673
Policy Number: 0739404
Type Loss: All Other Section I Losses
Date of Loss: 02/13/2024
Claim Number: 479575
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 RECEIVED
MAYLT2k ]
BUILDING DEPARTMENT