64 Insurance Loss 2021MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108.1904
(617)723.3800 Ma Only (800) 392-6108, FAX (800) 851-8424
HEALTH DEPT.
PUCHALSKI MUNICIPAL BUILDING
212 MAIN STREET
NORTHAMPTON MA 01060
Re: Insured:
Property Address:
Policy Number:
Type Loss:
Date of Loss:
Claim Number:
CMA00021
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139, Sec.313
JAMES NORTH AND SUSAN NORTH
64 FLOREST GLEN DR, FLORENCE, MA 01062
1438235
Windstorm Other than Hurricane or Tornad
03/01/2021
454292
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
3/4/2021