HomeMy WebLinkAboutNotice of Loss 12/03/25 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(6171723-3800 Ma Only(800)392-6108, FAX(8001851-8424
12/6/2025
Form of Notice of Casualty Loss to Building
Under Mass.Gen. Laws, Ch.139, Sec.3B
YARMOUTH BUILDING DEPT
1146 ROUTE 28
SOUTH YARMOUTH MA 02664
Re: Insured: RUTH S. HOLLAND
Property Address: 108 CENTER ST..YARMOUTH PORT, MA 02675
Policy Number: 1159382
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 12/03/2025
Claim Number: 488737
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, section 6 to be applicable. If any
notice under Massachusetts General Laws, Chapter 139, Section 3B 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 file number.
MPIUA Claims Division
CMA00021
DEC 1 0 2025