253 LORING AVENUE 6-8-26 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
7/11/2026
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws Ch.139,Sec.3B RECEIVED
SALEM HEALTH DEPT. JUL 17 2026
SALEM CITY HALL CITY OF SALEM
SALEM MA 01970 BOARD OF HEALTH
Re: Insured: FELIPE SENA AND MARIA SENA
Property Address: 253 LORING AVE,SALEM, MA 01970
Policy Number: 1494099
Type Loss: Vehicle Damage
Date of Loss: 06/08/2026
Claim Number: 494194
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