HomeMy WebLinkAboutNotice of Loss 01/12/26 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
RECEIVED ) Boston,Massachusetts 02108-1904
(6171723.3800 Ma Only(8001392.6108,FAX(8001851-8424
JAN 22 20261 1/17/2026
BUILDING DEPARTMENT Form of Notice of Casualty Loss to Building
By Under Mass.Gen.Laws,Ch.139,Sec.3B
YARMOUTH BUILDING DEPT
1146 ROUTE 28
SOUTH YARMOUTH MA 02664
Re: Insured: JUSTIN CARDILLO AND KIMBERLY KELLEY
Property Address: 15 CIRCUIT RD W,WEST YARMOUTH,MA 02673
Policy Number: 1682126
Type Loss: Other Causes of consequential Mold
Date of Loss: 01/12/2026
Claim Number: 489322
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