2 BRYANT STREET 6-20-25 CLAIM MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(6171723.3800 Ma Only(800)392-6108,FAX(8001851.8424
6/28/2025
Form of Notice of Casualty Loss to Building RECEIVED
Under Mass. Gen. Laws.Ch.139, Sec.3B
JUL 0 3 2025
SALEM HEALTH DEPT. CITY OF SALEM
SALEM CITY HALL BOARD OF HEALTH
SALEM MA 01970
Re: Insured: SARAH RAYMOND
Property Address: 2 BRYANT ST, SALEM, MA 01970
Policy Number: 1639258
Type Loss: Windstorm Other than Hurricane or Tornad
Date of Loss: 06/20/2025
Claim Number: 486106
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