HomeMy WebLinkAboutmold 2024001MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108.1904
(617) 723.3800 Ma Onlv (8001392.6108. FAX (800) 851.8424
917 t2024
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH MA 02664
lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
AMY BADACH
16 SPINNING BROOK ROAD. SOUTH YARMOUTH. MA
1133227
Other Causes of consequential Mold
0710112024
48'1655
Re
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. Chapter'143. section 6 to be applicable. lf any
notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate, please dhect it to the
attention of the writer and include a reference to the captioned insured, locatlon, policy number, date of loss
and claim or file number.
[.4PlUA Claims Division
cMA00021
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws. Ch.139. Sec.3B