HomeMy WebLinkAboutice dams 2026]TIASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(6171723-3800 ila Onlv (800) 392-6,l08, FAX (8001851-8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.3B
3t7t2026
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH I\4A 02664
Re
ctt A00021
lnsu red:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
ION SAJIN
23 SANDPIPER LN. WEST YARMOUTH. MA 02673
165'1364
lce Dams
$n42026
491374
Claim has been made involving loss, damage or destruction ol the above capfioned property, which may either
exceed$1000,00orcause@tobeapplicable.lfany
notice under Massachusetts General Laws. Chapter 139. Section 38 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 frle number.
MPIUA Claims Division