HomeMy WebLinkAboutvandalism and.or malicious mischief 2017MASSACHUSETTS PROPERW INSURANCE UNDERWRITING ASSOCIATION
Two Contor Plaza
Boston, Massachusetts 02108-1904
(617) 723-3800 ltla Onlv (800) 392-6,l08, FAX (800) 851-8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws. Ch.'139. Sec.3B
311012017
YARI/OUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARMOUTH MA 02664
Re
cMA00021
lnsured:
Property Address:
Policy Number:
Type Loss:
oate of Loss:
Claim Number:
PAUL E, NADER & CHERYL A. NADER
80 CAPTAIN SHIVARICK ROAD. SOUTH YARMOUTH, MA
0966684
Vandalism,Malicious Mischief
0426t2017
412739
02664
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
attention of the writer and include a reference to the captioned insured, location, policy number, date of loss
and claim or llle number.
MPIUA Claims Division