HomeMy WebLinkAboutwater damage 1.13.2025MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617) 723-3800 Ma Onlv (8001 392-6108. FAX (800) 851-8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws. Ch.139. Sec.3B
1t18t2025
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARI/OUTH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
IRWIN L KAMEN & MARIE A KAMEN TRUSTEES
90 BAKER ROAD. WEST YARMOUTH. MA 02673
1052095
Water Damage: Plumbing Systems
01t1312025
483428
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed$1000'00orcaUse@tobeapplicab|e.lfany
notice under Massachusetts General Laws, Chapter 139. Section 3B is appropriate, please direct it to the
attention of the wnter and include a reference to the captioned insured, location, policy number, date of loss
and claim or file number.
MPIUA Claims Division
cMA00021