HomeMy WebLinkAboutwater damage 2017MASSACHUSETTS PROPERW INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusotts 02108-1904
(61 723-3800 Ma Onlv (800) 392-6108. FAX (800) 851-8424
211112017
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTHYARMOUTH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
oate of Loss:
Claim Number:
ROSANNA G PACINO
,I1 BERNARD STREET. YARMOUTH. MA
1017432
Water Damage: All Other Waler Damage
0210912017
412014
02664
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed $1000.00 or cause Massachusetts GeneralLaws. Chapler 143. sectjon 6 to be applicable. lfany
notice under Massachusetts General Laws. Chapter '139. Section 3B is appropriate, please direct it to fie
attention ofthe writer and include a reference to the captioned insured, location, policy number, date of loss
and claim or file number.
MPIUA Claims Division
cr\,rA00021
Form of Notice of Casualty Loss to Building
Under Mass, Gen, Laws. Ch.139. Sec.3B