HomeMy WebLinkAboutwashington 89 - wind damage001MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusefts 021 08.1904
(617I723-3800 Ma Onlv (800) 392.6108, FAX (800) 851.8424
Form of Notice of Casualty Loss to Building
Under l\4ass. Gen. Laws, Ch.139, Sec.3B
YARIVOUTH FIRE DEPT
96 OLD I\4AIN SI
SOUTH YARMOUTH I\,4A 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
THACHER LAZZARI
89 WASHINGTON AVENUE. WEST YARMOUTH. I\,,1A
1381879
Windstorm Other than Hurncane or Tornad
06t18t202s
486266
02673
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed $1000,00orcause l\4assachusetts General Laws, Chaoter 143, section 6to be applicable. lfany
notice under Massachusetts General Laws. Chaoter 139. Section 38 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.
cr\4A00021
7t512025
[4PlUA Claims Division