HomeMy WebLinkAboutNotice of Loss 04/01/24 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
R E (; iE fRt i NOVoston,Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392-6108,FAX(800)851.8424
NOV 2 6 2025 j 11/22/2025
BUILDING DEPARTtcNT r 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: PAMELA ANDERSON
Property Address: 17 UNCLE EPHRIAMS RD.S YARMOUTH.MA 02664
Policy Number: 1472239
Type Loss: Mold caused by:Water Damage
Date of Loss: 04/01/2024
Claim Number: 488599
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