HomeMy WebLinkAboutwater damage plumbing system 2026MASSACHUSETTS PROPERW INSURANCE UNOERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 021 08-'1904
(617) 723-3800 Ma Onlv (800) 392-6108. FAX (800) 851-8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.3B
8t812026
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH MA 02664
Re
cMA00021
lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
02664
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. Chaoter 143. section 6to be applicable. Ifany
notice under Massachusetts General Laws, Chaoter 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.
DALE ROBERTS
40 PLEASANT ST. S YARMOUTH. MA
1562527
Water Damage: Plumbing Systems
08t0412026
494702
MPIUA Claims Division