1 BEACH AVENUE 5-10-25 CLAIM MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston,Massachusetts 02108-1904
(617)723-3800 Ma Only(800)392.6108,FAX(800)851-8424
5/17/2025
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139,Sec.3B RECEIVED
MAY 2 2 2025
SALEM HEALTH DEPT
SALEM CITY HALL CITY OF SALEM
BOARD OF HEALTH
SALEM MA 01970
Re: Insured: MAUREEN HENTOSH
Property Address: 1 BEACH AVE., SALEM, MA 01970
Policy Number: 0999108
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 05/10/2025
Claim Number: 485388
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