HomeMy WebLinkAboutwater damage and collapse insurance claims 2014MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02'l 08.1 904
(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
1012212014
YARMOUTH FIRE DEPT
96 OLD I/AIN ST
SOUTH YARMOUIH MA 02664
lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
WILLIAM H CERRATO & I\,IARY BETH MCDONALD
59 CAPTAIN DORE ROAD. SOUTH YARMOUTH. MA
0944607
Collapse: All Other Causes of Collapse
1A11512014
326689
02664
Re
cMA00021
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed $1000.00 orcause l\,lassachusetts General Laws, Chaote|I43, section 6 to be applicable. lfany
notice under Massachusetts General Laws, Chapter 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 ol loss
and claim or file number.
MPIUA Claims Division
MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108.1904
(617) 723.3800 Ma Only (8001 392-6108, FAX (800) 85'l-8424
Form of Notice of Casualty Lossto Building
Under [.4ass. Gen. Laws, Ch.139. Sec.3B
10i10t2014
YARMOUTH FIRE DEPT
96 OLD MAIN ST
SOUTH YARI/OUTH I\,IA 02664
lnsured:
Property Address:
Policy Number:
fype Loss:
Date of Loss:
Claim Nunnber:
WILLIAM H CERRATO & MARY BETH MCDONALD
59 CAPTAIN DORE ROAD, SOUTH YARI\,,IOUTH, IVA
0944607
Water Damage: All Other Water Damage
10t0112014
326528
Re
c tA00021
ulbb4
Claim has been made involving loss, damage or destruction of the above captioned property, which may either
exceed $1000.00 orcause L4assachusetts General Laws. Chaoter'143, section 6 to be applicable. 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