HomeMy WebLinkAboutwindstorm damage 2015MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108.1904
(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
6t20t2015
YARI\,,IOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH I\4A 02664
Re
ci,tA00021
lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
EUCLID PIEDRA
21 CLIFFORD ST. SOUTH YARMOUTH. MA
0874223
Windstorm Other than Hunicane or Tomad
02t17t2015
340497
02664
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed$1000.00orcaUse@tobeapplicable'lfany
notice under Massachusetts General Laws. Chaoter 139, Section 3B is appropriate, please direct it to the
attention ol the writer and include a reference to the captioned insured, location, policy number, date of loss
and claim or flle number,
MPIUA Claims Division