HomeMy WebLinkAboutfreezing damage 2016MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusstts 02108-1904
(6'17) 723-3800 Ma Onlv (800) 392-6,108, FAX (800) 85.|-8424
Form of Notice ol Casualty Loss to Building
Under Mass. Gen. Laws. Ch.'139. Sec.38
1212812016
YARMOUTH FIRE DEPT
96 OLD i/AIN ST
SOUTH YARMOUTH MA 02664
C[.,1A00021
d Re:
02664
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed $1000.00 or cause @ to be applicable. lf any
notice under Massachusetts General Laws. Chaoter 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 file number.
[.4PlUA Claims Division
lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
PETER T GERRISH ANO MARY T GERRISH
15 BAKERS PATH. SOUTH YARMOUTH. MA
1385646
Freezing
12116t2016
410978