HomeMy WebLinkAboutAlms House Road 50MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH MA
Re: Insured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
CMA00021
Two Center Plaza
Boston, Massachusetts 02108.1904
(617) 723-3800 Ma Only (800) 392-6108, FAX (800) 851.8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.36
02664
JOSEPH F. PETERSON
50 ALMS HOUSE ROAD, YARMOUTHPORT. MA 02675
1078020
Windstorm Other than Hurricane or Tornad
03/13/2017
414372
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 36 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
5/5/2017