HomeMy WebLinkAboutacres 7 - water damage001MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, irlassachusetts 02108-1904
(617) 723-3800 Ma 0nlv (800) 392-6108. FAX (800) 851-8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws. Ch.139. Sec.3B
7 t512025
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH MA O26M
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Dale of Loss:
Claim Number:
[,IICHAEL R PERRONE AND RACHEL E PERRONE
TACRESAVE.WESTYARMOUTH. MA 02673
't524487
Water Damage: Appliance failure
07102t2025
486248
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. Chaoter 143. section 6 to be applicable. lfany
notice under Massachusetts General Laws. Chaoter '139. Section 3B is appropriate, please dhect 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