HomeMy WebLinkAboutNotice of Loss 7/3/25 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
PL' E C E / V E ("`! G Two Center Plaza
Boston, Massachusetts 02108-1904
;G 1 9 2026 i i 1617)723-3800 Ma Only(800)392-6108, FAX(800)851-8424
_ ____ 8/15/2026
BUILDING DEPARTMENT
'ivForm of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139,Sec.3B
YARMOUTH BUILDING DEPT
1146 ROUTE 28
SOUTH YARMOUTH MA 02664
Re: Insured: QINGWEI FU AND HONGYAN SUN
Property Address: 58 CAPTAIN BLOUNT RD, S YARMOUTH, MA 02664
Policy Number: 1679545
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 07/03/2025
Claim Number: 494884
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, Chapter 143, section 6 to be applicable. If any
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 of loss
and claim or file number.
MPIUA Claims Division
CMA00021