HomeMy WebLinkAboutNotice of Loss 08/01/24 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston,Massachusetts 02108-1904
16171723-3800 Ma Only(8001 392.6108,FAX 18001851.8424
8/10/2024
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
RECEIVED
AUG 14 2024
Re: Insured: ANALUISA FERNANDEZ MONTEIRO ar. DEPARTMENT
Property Address: 50 ASTOR WAY.SOUTH YARMOUTH.MA 02664
Policy Number: 1116031
Type Loss: Fire(including Fire caused by Lightning
Date of Loss: 08/01/2024
Claim Number: 481175
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