45 Perkins Street 10-17-19 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108.1904
(617)723-3800 Ma Only(800)392-6108, FAX(800)851-8424
10/18/2019
Form of Notice of Casualty Loss to Building RECEIVED
Under Mass.Gen. Laws Ch.139 Sec.313
OCT 2 4 2019
SALEM HEALTH DEPT, CITY OF SALEM
BOARD OF EALTH
SALEM CITY HALL
SALEM MA 01970
Re: Insured: MARIO&MARIA C. DUZZ
Property Address: 45 PERKINS STREET,SALEM, MA 01970
Policy Number: 1082834
Type Loss: Windstorm Other than Hurricane or Tornad
Date of Loss: 10/17/2019
Claim Number: 443169
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