HomeMy WebLinkAboutNotice of Loss 5/21/26 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
RECEIVED Boston,Massachusetts 02108-1904
(6171723.3800 Ma Only(8001392-6108,FAX(8001851-8424
JUN 10 2026 6/6/2026
BUILDING DEPARTMENT Form of Notice of Casualty Loss to Building
Ely. ---- Under Mass.Gen.Laws,Ch.139,Sec.3B
YARMOUTH BUILDING DEPT
1146 ROUTE 28
SOUTH YARMOUTH MA 02664
Re: Insured: KENNETH AND JOANNE ROBERTS
Property Address: 125 BREEZY POINT ROAD.SOUTH YARMOUTH.MA 02664
Policy Number: 0914324
Type Loss: Mold caused by:Water Damage
Date of Loss: 05/21/2026
Claim Number: 493635
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