63 SALEM STREET 9-29-26 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
10/3/2026
Form of Notice of Casualty Loss to Building RECEIVED
Under Mass. Gen. Laws. Ch.139. Sec.36
OCT 13 2026
SALEM HEALTH DEPT. CITY OF SALEM
BOARD OF HEALTH
SALEM CITY HALL
SALEM MA 01970
Re: Insured: RAMONA PIMENTEL
Property Address: 63 SALEM ST, SALEM. MA 01970
Policy Number: 1573392
Type Loss: Windstorm Other than Hurricane or Tornad
Date of Loss: 09/29/2026
Claim Number: 495763
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