HomeMy WebLinkAboutNotice of Loss 1/2/26 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston,Massachusetts 02108-1904
(6171723-3800 Ma Only(8001392.6108,FAX(8001851.8424
1/10/2026
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: ANTHONY R FARINA.PAULA F POLLIS,
Property Address: 43 GRANDVIEW DR,SOUTH YARMOUTH,MA 02664
Policy Number: 0774271
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 01/02/2026
Claim Number: 489199
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
RE _CEIVED
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`1 BUILDING DEPARTMENT
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