86-88 CONGRESS STREET, #4, CLAIM MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston,Massachusetts 02108-1904
(6171723-3800 Ma Only(800)392.6108.FAX(800)851-8424
4/4/2026
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws,Ch.139,Sec.36
RECEIVED
SALEM HEALTH DEPT.
SALEM CITY HALL APR 0 9 2026
SALEM MA 01970 CITY OF SALEM
BOARD OF HEALTH
Re: Insured: DEAN W PROFIS AND DIANA A PROFIS
Property Address: 86-88 CONGRESS ST#4,SALEM, MA 01907
Policy Number: 1671420
Type Loss: Fire(including Fire caused by Lightning
Date of Loss: 03/28/2026
Claim Number: 492362
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 313 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