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83 BAY VIEW AVENUE 8-13-24 CLAIM MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION Two Center Plaza Boston,Massachusetts 02108-1904 (6171723-3800 Ma Oniv(8001392-6108, FAX(800)851-8424 9/21/2024 Form of Notice of Casualty Loss to Building RECEIVED Under Mass. Gen. Laws, Ch.139. Sec.3B SEP 2 6 2024 CITY OF SALEM SALEM HEALTH DEPT BOARD OF HEALTH 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