HomeMy WebLinkAboutcollapse 2015MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02'l 08-'l 904
(6'17) 723-3800 Ma Onlv (800) 392-6108, FAX (800) 851-8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws. Ch.139, Sec.38
5t20t2015
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
GENE BOUND
57 BEACH ROAD. WEST YARMOUTH, MA
0820979
Collapse: All Other Causes of Collapse
05/0'l/2015
339288
0?673
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed S1000.00 or cause [,lassachusetts General Laws, Chaoter143, section 6to be applicable. lfany
notice under Massachusetts General Laws, Chaoter 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