Canton, Massachusetts · Saved source text
Article 15 - Insurance Proceeds
Saved text from 3 source pages. Transcription and OCR may contain errors; verify figures and wording against the original. Retrieved 2026-10-15.
Source page 1
Original: Cotlector Office SCHEDULE OF DEPARTMENTAL PAYMENTS TO COLLECTOR/TREASURER Copy: Accountant Office DEPARTMENT - FINANCE ; 2/21/2018 DESCRIPTION ACCOUNT # AMOUNT Insurance proceeds check from NorthStar due to roof collapse at rink 31733-48427 ay TOTALS . 500,000.00 TO THE DEPARTMENT MAKING THE PAYMENT: THE ABOVE SUM HAS BEEN RECEIVED ON THIS DATE a of / / x COLLECTOR/TREASURER'S OFFICE Turnover bianknew. xlsx REV 6/04
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indent Insurance Services, LLG ‘On Behalf OF: National Union & Ils Atldiated Companies > Handled By: Contac! Number:1-800-444-3916 Glaim Number: TNT-0128027 PA Date of Loss: 02/28/2016 r Claimant: Town of Canton PAY Five Hundred Thousand Dollars Ani! Zero Cents** PAY TOTHE TOWN OF CANTON ORDER OF PAYEE Clo NonhSiar Ins. Services, lnc ADDRESS 300 Firs! Avo, Suile 100 Neadham, MA 02494 FOR Loss of Business Income and Extra Expenses DETACH BEFORE CASHING (Retain stub for your records.) PayTo: TOWN OF CANTON Payer: Trident Insurance Services, LLG For: Check Number: 12023 uPMorgan Chase Bank, NLA. Dallas, TX Policy/Certificate: 01LX054201723-02 Insured: Town of Ganton Period Covered: 2018-02-15 to 2018-02-15 Adjuster: david clark Loss of Business income and Extra Expenses “LE98E 504 Issued: 02/15/2018 Giaim Number___ Gaiman! Name... 2... .....--------------Inyoleg_ Paid Am! _ Billed Amt Type Pay Pymt Oase Adjuster FEIN/SSNO- SINT 9128027_____ Town ol Canton. 2 enn nen ne nee een nnn 00,000.00 $.00,000.00 1 Business Income with extra ex david.clark Total 500,000.00 500,000.00 Mail To: Town of Canton C/o NorthStar Ins. Services, Inc 300 First Ave, Suite 100 Needham MA 02494 ” Gheck Number: 12023 241 Source: FH-TNE 1110 Dale 02/15/2018 Void After 180 Days Amount AUTHORIZED REPRESENTATIVE Genie Con “AUTHORIZED REPRESENTATIVE Contact Number:1-800-444-3916
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* 300 First Ave., Suite 100 | Needham, MA 02494 \ Tel: (781) 431-2500 Scrape ei ere py ten Pn Cana INSURANCE SERVICES, INC, Fax: (781) 431-6134 www.nsins, com February 20, 2018 Town of Canton Ms. Tina Carlton 801 Washington Street Canton, MA 02021 Re: Claim TNT-01280287 Policy No.: 01LX054201723-02 Date of Loss: 2/28/2015 Dear Tina, Lam pleased to forward Trident’s check in the amount of $500,000.00 as partial payment for the above referenced loss. This represents payment under your property policy — loss of business income and extra expense coverage. If you have any questions or concerns, please contact me at the telephone number noted above. eee ‘) ee _ MMW Le Michael Brohm Claims Director