HomeMy WebLinkAboutwater damage 2026MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusefts 02108.1904
(617I723.3800 Ma Onlv (800) 392-6,l08. FAX (8001851-8424
st2t2026
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARI\4OUTH I\4A O26M
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
XIAXI LIAND YACHEN SHU
28 GARDINER LN. SOUTH YARMOUTH. MA
1581374
Water Damage: Plumbing Systems
Mt19t2026
492941
02664
[.4PIUA Claims Division
cMA00021
Form of Notice of Casualty Loss to Building
Under lVlass. Gen. Laws, Ch.139. Sec,3B
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed $1000.00orcause l\4assachusetts General Laws. Chapter 143, section 6 to be applicable. lfany
notice under Massachusetts General Laws. Chaoter 139. Section 3B is appropriate, please direct it to the
aftention of the writer and include a reference to the captioned insured, location, policy number, date of loss
and claim or flle number.