HomeMy WebLinkAboutNOTICE OF CAUSALTY LOSS - 2025\i
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MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 021 0E.1 904
(617) 723-3800 Ma Only (800) 392-6108, FAX (800) 851.8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139. Sec.3B
81912025
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lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
DENNIS L KEELEY AND KATHY A THORNTON KEE
60 HARBOR RD. WEST YARI\4OUTH. MA 02673
1593604
All Other Section I Losses
0712812025
486959
1
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed $1000,00orcause Massachusetts General Laws, Chaoter'143, section 6 to be applicable. Ifany
notice under Massachusetts General Laws, Chaoter 139, Section 3B is appropriate, please direct it to the
attention of the wrjter and include a reference to the caplioned insured, location, policy number, date of loss
and claim or file number.
l\4PlUA Claims Division
ct\tA00021
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YARMOUTH HEALTH DEPT
1146 RoUTE 28
SOUTH YARMOUTH MA 02664