HomeMy WebLinkAboutNotice of Loss 2025MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 021 08-1 904
(617) 723.3800 Ma Onlv (800) 392-6108. FAX (800) 851'8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen.. Ch.139. Sec.3B
10t25t2025
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oct Z g 21p1
YARMOUTH HEALTH DEPT
1146 ROUTE 28
SOUTH YARMOUTH MA 02664
Re: Insured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
ALBERT J RICCARDELLI JR
206-208 HIGGINS CROWELL ROAD. YARMOUTH, l\,lA
0953920
other Causes of consequential Mold
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488'151
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02673
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed $1000.00orcause l\.4assachusetts General Laws. Chaoter 143, section 6tobeapplicable lfany
139 Section is appropriate, please direct it to thehnoticet\,4 usetts Ge
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
ct\,4A00021