HomeMy WebLinkAboutinsurance claim mold damage 3.25.2025MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 021 08.'l 904
(617) 723.3800 Ma 0nlv (800) 392.6108. FAX (800) 851.8424
Form of Notjce of Casualty Loss to Building
Under l ass. Gen Laws, Ch.139. Sec.3B
4126t2025
YARMOUTH FIRE DEPT
96 OLD fuIAIN ST
SOUTH YARMOUTH I\,IA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
KARL E ANDERSON TRUSTEE
29 SALT WORKS LN. S YARMOUTH. MA
1508217
Other Causes of consequential Mold
03125t2025
485091
02664
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 lvlassachusetts General Laws. chaoter 139. section 3B is appropriate, please direct it to the
attention of the writer and include a relerence to the captioned insured, location, policy number, date of loss
and claim or file number.
MPIUA Claims Division
cr\,tA00021