2 BRYANT ST_ NOTICE OF LOSS 6-20-25 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston,Massachusetts 02108.1904
(617)723.3800 Ma Only(800)392.6108. FAX(8001851.8424
6128/2025
Form of Notice of Casualty Loss to Building
Under Mass Gen Laws Ch.139 Sec.36
SALEM BUILDING COMMISSIONER
SALEM CITY HALL
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