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20 BEACH AVENUE 1-13-24 CLAIM MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION Two Center Plaza Boston, Massachusetts 02108.1904 (617)723-3800 Ma Only(800)392-6108, FAX(8001851-8424 1/20/2024 Form of Notice of Casualty Loss to Building Under Mass. Gen. Laws. Ch.139. Sec.313 RECEIVED JAN 31 2024 SALEM HEALTH DEPT SALEM CITY HALL CITY OF SALEM BOARD OF HEALTH SALEM MA 01970 Re: Insured: LINDA M SPINALE Property Address: 20 BEACH AVE, SALEM, MA 01970 Policy Number: 1485738 Type Loss: Windstorm Other than Hurricane or Tornad Date of Loss: 01/13/2024 Claim Number: 477763 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