HomeMy WebLinkAboutwater damage 3.1.2025MASSACHUSETTS PROPERW INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02,l08'1904
(617) 723.3800 Ma Onlv (800) 392'6,l08' FAx (800) 851'8424
Form ol Notice of Casualty Loss to Building
Under Mass. Gen. Laws. Ch.139. Sec.3B
3t8t202s
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH MA 02664
Re: lnsured:
Proper$ Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
NY2CC.LLC
ggOLDMAINST.SYARMOUTH. MA 02664
1518774
Water Damage: All Other Water Damage
03t0112025
4U205
claim has been made involving loss, damage or destruction of the above captioned property, which may either
Laws. Chaoter 143.to be applicable. lf any6exceed $1000.00 or cause setts Ge
notice under sachusetts eneral Laws.1?O n38is 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
c[.,1A00021