Canton, Massachusetts · Saved source text
Article 14 - Insurance Proceeds - Metropolitan Rink pdf file
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
INSURED : Town of Canton DATE OF REPORT : 07/23/2020
LOCATION : 2167 Washington Street DATE OF LOSS : 02/28/2015
: Canton, MA 02021 POLICY NUMBER : 01LX054201723-02
COMPANY : Trident Insurance Services CLAIM NUMBER : TNT-0128027
: P O Box 469011 OUR FILE NUMBER : 03021503R
: San Antonio, TX 78246 ADJUSTER NAME : Randall Lucier
STATEMENT OF LOSS
CLAIM RECAPITULATION
Policy Information
Policy Type: Commercial Policy
Policy Number: 01LX054201723-02
Policy Term: 07/01/2014 to 07/01/2015
Coverage A - Building
Coverage Amount: $3,971,875.00
Coverage Deductible: $7,500.00
R/C Status: Yes
Coverage Comments: Direct Payments to Rebuildex Total
$75,000.00 on 9/9/15
$133,546.61 on 11/10/15
$67,833.86 on 2/12/16
Total to Rebuildex = $276,380.47
Advance payment to Insured = $1,787,051.52
Advance payment to Insured = $365,908.28
Advance payment to Insured = $5,692.50
Total ACV to Insured = $2,158,652.30
Holdback Release = $965,279.28
Estimate of Loss: R.C.V.: $3,407,812.05
Depreciation*: $0.00
A.C.V.: $3,407,812.05
Less Deductible: $7,500.00
Claim Payable: $3,400,312.05
Less Advance on : $276,380.47
Less Advance on : $2,158,652.30
Less Prior Payment on : $965,279.28
Claim Payable: $0.00
*Depreciation: Recoverable: $0.00
Non-recoverable: $0.00
Code Upgrade - Code Upgrade
Coverage Amount: $1,000,000.00
Coverage Deductible: $0.00
R/C Status: Not Applicable
SIMSOL® Page: 1
SOL-1/8.3Source page 2
INSURED : Town of Canton DATE OF REPORT : 07/23/2020
LOCATION : 2167 Washington Street DATE OF LOSS : 02/28/2015
: Canton, MA 02021 POLICY NUMBER : 01LX054201723-02
COMPANY : Trident Insurance Services CLAIM NUMBER : TNT-0128027
: P O Box 469011 OUR FILE NUMBER : 03021503R
: San Antonio, TX 78246 ADJUSTER NAME : Randall Lucier
STATEMENT OF LOSS
CLAIM RECAPITULATION
Code Upgrade - Code Upgrade (continued)
Estimate of Loss: R.C.V.: $564,506.87
Depreciation: $0.00
A.C.V.: $564,506.87
Less Deductible: $0.00
Claim Payable: $564,506.87
Business Income - Business Income
Coverage Amount: $500,000.00
Coverage Deductible: $0.00
R/C Status: Not Applicable
Estimate of Loss: R.C.V.: $500,000.00
Depreciation: $0.00
A.C.V.: $500,000.00
Less Deductible: $0.00
Claim Payable: $500,000.00
Less Advance on : $500,000.00
Claim Payable: $0.00
Coverage B - Contents
Coverage Amount: $25,000.00
Coverage Deductible: $0.00
R/C Status: Yes
Estimate of Loss: R.C.V.: $20,326.00
Depreciation*: $4,856.50
A.C.V.: $15,469.50
Less Deductible: $0.00
Claim Payable: $15,469.50
Less Advance on 12/17/2019: $15,469.50
Claim Payable: $0.00
*Depreciation: Recoverable: $4,856.50
Non-recoverable: $0.00
SIMSOL® Page: 2
SOL-1/8.3Source page 3
INSURED : Town of Canton DATE OF REPORT : 07/23/2020
LOCATION : 2167 Washington Street DATE OF LOSS : 02/28/2015
: Canton, MA 02021 POLICY NUMBER : 01LX054201723-02
COMPANY : Trident Insurance Services CLAIM NUMBER : TNT-0128027
: P O Box 469011 OUR FILE NUMBER : 03021503R
: San Antonio, TX 78246 ADJUSTER NAME : Randall Lucier
STATEMENT OF LOSS
CLAIM RECAPITULATION
Statement of Loss Summary
R.C.V.: $4,492,644.92
Depreciation: $4,856.50
A.C.V.: $4,487,788.42
Less Deductible: $7,500.00
Claim Payable: $4,480,288.42
Total Advances: $2,950,502.27
Prior Payments: $965,279.28
Claim Payable: $564,506.87
SIMSOL® Page: 3
SOL-1/8.3