HomeMy WebLinkAboutNOTICE OF LOSS 9.2.2025MASSACHUSETTS PROPERW INSURANCE UNDERWRITING ASSOCIATION
Two center Plaza
Boston, Massachusetts 021 08''l 904
(617) 723-3800 Ma Onlv (800) 392-6108, FAX (800) 851'8424
Form of Notice of Casualty Loss to Building
Under l\.4ass, Gen. Laws, Ch.139, Sec.38
9t6t2025
YARi!,IOUTH HEALTH DEPT
1146 ROUTE 28
SOUTH YARMOUTH MA 02664
Re: Insured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
ROBERT AND SANDRA ROYSTER, TRUSTEES
20 HOPE ROAD. SOUTH YARMOUTH. MA 02664
1173782
Fumace/Boiler
09t0212025
4873r'.4
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed $1000,00orcause Massachusetts General Laws, chapter 143, section 6to be applicable. lfany
notice und er achusetts General Laws,aoter 139,on 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 flle number
N.4PlUA Claims Division
cMAo0021
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