HomeMy WebLinkAboutmold 2024MASSACHUSETTS PROPERW INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 021 08.1 904
(617) 723-3800 Ma 0nlv (800) 392.6108, FAX {800) 851.8424
Form of Notice of Casualty Loss to Building
Under l\,,lass. Gen.. Ch.'139. Sec.3B
12t'7t2024
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH MA 02664
lnsu red:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
DENNIS NEIER AND MARISHA KRUPKIN
858 W YARMOUTH RD, YARMOUTH PORT, I\4A
1651864
Other Causes of consequential Mold
11101t2024
482778
Re
02675
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, sectron 6to be applicable. lf any
notice under Massachusefts General Laws, chaDter 139. section 3B is appropnate, 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
cMA00021