16 LAFAYETTE PLACE 1-25-26 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
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: EDWARD SCIALDONI AND PATRICIA SCIALDONI
Property Address: 16 LAFAYETTE PLACE, SALEM, MA 01970
Policy Number: 1434348
Type Loss: Water Damage:All Other Water Damage
Date of Loss: 01/25/2026
Claim Number: 489495
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