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Home My WebLink AboutNotice of Loss 3/17/25 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION Two Center Plaza Boston, Massachusetts 02108-1904 (6171 723-3800 Ma Only(800)392-6108, FAX(800)851-8424 5/17/2025 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: 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: 03/17/2025 Claim Number: 485450 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 MAY 21 2025 BUILDING DEPARTMENT 8y ---