HomeMy WebLinkAboutNotice of Loss 9/3/24 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston,Massachusetts 02108.1904
(6171723.3800 Ma Only(8001 392-6108.FAX(8001851-8424
9/7/2024
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: MARIE BURKE
Property Address: 29 FORTUNE RD,YARMOUTH PORT,MA 02675
Policy Number: 1668181
Type Loss: Water Damage:Plumbing Systems
Date of Loss: 09/03/2024
Claim Number: 481625
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
1 and claim or file number.
MPIUA Claims Division
CMA00021
R E cE__V c D
[_SEP 12 2024
BUILDING DEPA
By: RTMENT