83 Bay View Ave_ Water Damage Claim 8-13-2024 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108.1904
(61717233800 Ma Only(800)392.6108. FAX(800)851.8424
9/21/2024
Form of Notice of Casualty Loss to Building
Under Mass.Gen. Laws, Ch.139, Sec.313
SALEM BUILDING COMMISSIONER
SALEM CITY HALL
SALEM MA 01970
Re: Insured: LINDA ST PIERRE
Property Address: 83 BAY VIEW AVE. SALEM, MA 01970
Policy Number: 1343575
Type Loss: Water Damage: Plumbing Systems
Date of Loss: 08/13/2024
Claim Number: 481848
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