HomeMy WebLinkAbouttheft 2014MASSACHUSETTS PROPERTY INSURANCE UNOERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusotts 02,l08-1 904
(6171723-3800 Ma Onlv (800) 392-6108, FAX (800) 851-8424
Form of Notice ol Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139. Sec.3B
1t13t2015
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUIH YARMOUTH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
oate of Loss:
Claim Number:
CHARLES K. BERGIN III
121 CAMPSTREETUNIT 116. WESTYARMOUTH. MA 02673
1170914
Theft
12t10nu4
328863
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed $1000.00 orcause Massachusetts General Laws. Chapter 143. section 6to be applicable. lfany
notice under Massachusetts General Laws. Chaoter 139. Section 38 is appropriate, please dkect it to the
attention of the writer and include a reference to the captioned insured, location, policy number, dale of loss
and claim or file number.
MPIUA Claims Division
ct\.tA00021