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1-3 SUMMIT AVENUE 1-26-26 CLAIM MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION Two Center Plaza Boston, Massachusetts 02108.1904 (617)723-3800 Ma Oniv(800)392-6108. FAX(800)851-8424 1/31/2026 Form of Notice of Casualty Loss to Building Under Mass.Gen. Laws. Ch.139.Sec.313 RECEIVED FEB 0 9 2026 SALEM HEALTH DEPT. CITY OF SALEM SALEM CITY HALL BOARD OF HEALTH SALEM MA 01970 Re: Insured: JOSE M.ALAS&PETRONA ALAS Property Address: 1-3 SUMMIT AVE,SALEM, MA 01970 Policy Number: 1432430 Type Loss: Freezing Date of Loss: 01/26/2026 Claim Number: 489704 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