HomeMy WebLinkAboutNotice of Loss 2/15/26 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
RECEIVE -
l' Boston,Massachusetts 02108-1904
I WS 19 2026 I (6171723.3800 Ma Only(8001392.6108.FAX(8001851.8424
l 8/15/2026
BUILDING DEPARTMENT Form 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: 02/15/2026
Claim Number: 494885
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