HomeMy WebLinkAboutmold damage 2026MASSACHUSETTS PROPERW INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108.1904
(617) 723-3800 Ma Onlv (800) 392-6,l08, FAX (8001851'8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws. Ch.139, Sec.3B
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YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
JUSTIN CARDILLO AND KIMBERLY KELLEY
l5CIRCUITRDW. WESTYARMOUTH, MA 02673
1682126
other Causes of consequential Mold
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489322
Claim has been made involving loss, damage or destruction of the above captjoned property, which may either
exceed$1000.00orcauSe@tobeapplicable.lfany
notice under Massachusetts General Laws. Chaoter 139. Seclion 39 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