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1 Ropes Street 7-23-20 claim MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION Two Center Plaza Boston, Massachusetts 02108-1904 (617)723-3800 Ma Oniv(800)392-6108,FAX(800)851-8424 7/28/2020 Form of Notice of Casualty Loss to Building RECEIVED Under Mass. Gen. Laws, Ch.139, Sec.313 AUG 0 3 2020 CITY OF SALEM SALEM HEALTH DEPT, BOARD OF HEALTH SALEM CITY HALL SALEM MA 01970 Re: Insured: RAMY AL-ABED Property Address: 1 ROPES ST, SALEM, MA 01970 Policy Number: 1533596 Type Loss: Other Causes of consequential Mold Date of Loss: 07/23/2020 Claim Number: 449385 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