HomeMy WebLinkAboutNotice of Loss 10/09/26 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston,Massachusetts 02108.1904
(6171723-3800 Ma Only(8001 392-6108.FAX(8001851.8424
10/10/2026
Form of Notice of Casualty Loss to Building
Under Mass.Gen.Laws,Ch.139,Sec.3B
RECEIVED
YARMOUTH BUILDING DEPT
1146 ROUTE 28 I OCT 15 2026
SOUTH YARMOUTH MA 02664
BUILDING DEPARTMENT
BY
Re: Insured: SHANNON DANNE-FEENEY
Property Address: 64 BRAY FARM RD N,YARMOUTH PORT,MA 02675
Policy Number: 1665672
Type Loss: Water Damage:Plumbing Systems
Date of Loss: 10/09/2026
Claim Number: 496012
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