HomeMy WebLinkAboutwindstorm damage 2015MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617) 723-3800 Ma Onlv (800) 392-6108. FAX (800) 851-8424
Form of Notice ot Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.3B
4t24t2015
YARI\4OUTH FIRE DEPT
96 OLD I\,,1AIN ST
SOUTH YARI\,4OUTH MA 02664
Re
ci.4A00021
lnsu,:d.
Property Address:
Policy Number:
Type Loss:
Date of Loss:
;'aim Number:
CECELIA ANGELINI
65 CAMP ST,. WEST YARMOUTH, MA 02673
0410475
Windstorm Other than Hurricane or Tornad
04t23t2015
338090
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exCeed$1000,00orcaUSe@tobeapplicable'lfany
notice under Massachusetts General Laws. Chaoter '139, Section 3B is appropriate, please direct it to the
atlenlion of the wrirer and include a reference to the captioned insured, location, policy number, date of loss
and claim or file number.
MPIUA Claims Division