HomeMy WebLinkAboutNotice of Loss 2/22/26 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION •
Two Center Plaza
Boston, Massachusetts 02108-1904
riAR 09 2026 1 16171723-3800 Ma Only(800)392.6108.FAX 18001851.8424
2/28/2026
' 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: WILLIAM M BERGSTROM&DEBRA A BERGSTROM
Property Address: 33 NAUTICAL LN, S YARMOUTH, MA 02664
Policy Number: 1620566
Type Loss: Windstorm Other than Hurricane or Tomad
Date of Loss: 02/22/2026
Claim Number: 490935
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