HomeMy WebLinkAboutmold 2024MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02,l08.1904
(617) 723-3800 Ma Onlv (8001392.6108. FAX (800) 851-8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139. Sec.3B
8t31t2024
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARI\,,IOUTH MA 02664
lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
KIMBERLY DULMAINE AND CANDICE JENKINS
39OLDMAINST. BASSRIVER. MA 02664
1666362
Mold caused by: Water Damage
08t29t2024
481569
Re
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, Chapter 143, section 6to be applicable. lf any
notice under Massachusetts General Laws. Chapter 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.
[.4PlUA Claims Division
cMA00021