HomeMy WebLinkAboutfreezing damage 2015MASSACHUSETTS PROPERTY INSURANCE UNDERWRITII'lG ASSOCIATION
Two Center Plaza
Boston, l,lassachusetts 02108-1904
(617) 723-3800 Ma Onlv (800) 392-6108. FAX (800) 851-8424
1t27 t2015
YARMOUTH FIRE DEPT
96 OLD I\4AIN ST
SOUTH YARMOUTH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
RICHARD W& MARYLEE POMROY
31 BARKENTINE CIRCLE. SOUTH YARMOUTH. MA 0266+5107
0706612
Freezing
01t25t2015
329174
Claim has been made involving loss, damage or destruction ofthe above captioned property, which may either
exceed$1000.00orcause@tobeapplicable.lfany
notice under Massachusetts General Laws, Chaoter 139. Section 3B is appropnate, please direct it to the
attention ol the writer and include a reference to the captioned insured, Iocation, policy number, date ol loss
and claim or file number.
MPIUA Claims oivision
cMA00021
Form of Notice of Casualty Loss to Building
Under lvlass. Gen. Laws. Ch.139. Sec.3B