8 CHEVAL AVENUE 4-13-20 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
5/12/2020
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch.139. Sec.313
SALEM HEALTH DEPT
SALEM CITY HALL
SALEM MA 01970
Re: Insured: PATRICK A.ZOPPO AND JENNIFER A.ZOPPO
Property Address: 8 CHEVAL AVE,SALEM, MA 01970
Policy Number: 1522916
Type Loss: Windstorm Other than Hurricane or Tornad
Date of Loss: 04/13/2020
Claim Number: 447702
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. Chanter 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