HomeMy WebLinkAboutwater damage 2014MASSACHUSETTS PROPERTY INSURANCE UNOERWRITING ASSOCIATION
Two Center Plazi
Boston, Massachusetts 0 l 1 08-1 904
(617) 723-3800 Ma 0nlv (800) 392-6101 FAX (800) 851-8424
Form of Notice o, Casualty Loss to B',';lding
Under illass. Gen. Laws. Ch.139. Sec.3B
9t27t2014
YARMOUTH FIRE DEPT
96 OLD i/AIN ST
SOUTH YARI/OUTH MA 02664
Re: lnsured:
Properg Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
RUTH S. HOLLAND
108 CENTER ST.. YARiTOUTH PORT. I\44
1159382
Water Damage: All Other Water Damagl)
09122t2014
326281
0267 5
Claim has been made involving loss, damage or destruction of the above captio'led property, which may either
exceed $1000.00 or cause Massachusetts General Laws. Chaoter 143. section qto 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 file number.
l\4PlUA Claims Division
cMA00021