HomeMy WebLinkAbout76 Camp - Ins Loss NoticeMASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Genter Plaza
Boston, Massachusetts 02108-1904
(61il 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
91512026
YARMOUTH HEALTH DEPT
1 146 RoUTE 28
SOUTHYARMOUTH MA 02664
Re: lnsured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
NUNZI & CYNTHIA NAPOLITANO
76 CAMP ST. WEST YARMOUTH. MA
1755325
Water Damage: Plumbing Systems
09t03t2026
495201
02673
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, Chaoter 143. section 6 to be applicable. lf any
notice under Massachusetts General Laws. Chapter 139, Section 38 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