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03.a. Loss Control Report
CCCSD 2013 -14 Loss Control Report New Incident � Prior Fiscal Year Incident Ongoing Incident Litigated Matter OVERFLOWS AND PLUMBING REIMBURSEMENTS Status # ID# Loss DOL Other Party Address City Reserve Paid to Date Paid to Incident Total Type Closed 1 2014001 SSO 7/12/2013 Patricia Gulliford 135 Austin Lane Alamo $ - $ 30.38 Morgan's Masonry $ 189.75 Claimant Closed 2 2014002 SSO 7/31/2013 Ed Hollshwander 3158 Maryola Ct. Lafayette $ $ - $ 628.00 379.50 Servicemaster $ 848.13 $ 379.50 Closed 3 2014003 PL 7/12/2013 Anthony Rardin 51 Paradise Lane Pleasant Hill $ - $ 1,631.39 $ 1,631.39 Closed 4 2014004 PL 9/12/2013 John De Vito 2144 East View Place Martinez $ - $ 150.00 Claimant $ 150.00 Closed 5 2014005 SSO 9/19/2013 Tom Barham 315 Strand Ave Pleasant Hill $ - $ 1,257.12 Servicemaster $ 1,257.12 Closed PL 1/17/2014 Shelly Videau 23 Anelda Drive Scott Bramhall 77 Oak Knoll Loop Walnut Creek $ - $ 3,224.64 Servicemaster Closed 14 2014022 SSO 2/10/2014 Fred & Pam Leggaro 1757 Green Valley Dr. Danville 77 Oak Knoll Loop Walnut Creek 172.00 $ 6,795.00 Scott Bramhall Belinda Ledgerwood 75 Oak Knoll Loop Walnut Creek $ $ 1,045.96 Servicemaster $ 11,065.60 Closed 7 2014007 SSO 10/7/2013 Simon /Olsen Ptarmigan Dr. Walnut Creek $ - $ 275.00 Servicemaster $ 275.00 Closed 8 2014008 PL 8/24/2013 John Sakamoto 1068 Via Roble Lafayette $ - $ 595.00 John Sakamoto $ 595 00 Closed 9 2014009 PL 10/23/2013 Marc Levine 1 Daphne Court Orinda $ - $ 219.75 Marc Levine $ 219.75 Closed 10 2014011 SSO 11/5/2013 Susan Garell 659 Ironbark Circle Orinda $ - $ 397.50 Claimant Closed 11 2014017 SSO 12/14/2013 Steve Grogan 431 Ridgeview Dr. Pleasant Hill $ - $ $ 1,244.48 3,200.00 Servicemaster — Claimant $ 1,641.98 Closed 12 2014020 PL 12/19/2013 Sheryl Sherry 178 Plaza Circle Danville $ - $ $ 967.43 51.01 ServiceMaster Claimant $ $ 4,167.43 51.01 Closed 13 2014021 PL 1/17/2014 Shelly Videau 23 Anelda Drive Pleasant Hill $ - $ 115.00 Claimant $ 115.00 Closed 14 2014022 SSO 2/10/2014 Fred & Pam Leggaro 1757 Green Valley Dr. Danville $ - $ 172.00 Claimant $ 2,375.74 Restoration Mgt $ 2,077.94 Paul Davis Restor. $ 4,625.68 Open 15 2014024 SSO 2/23/2014 Sandra Mejia 72 Camino Sobrante Orinda $ 6,300.00 $ 2,375.74 — Restoration —Mgt $ 2,141.00 Servicemaster $ 7,045.63 Servicemaster Closed 16 2014026 PL 12/26/2013 Krista Imrie 763 Old Jonas Hill Road Lafayette $ - $ 130.00 Claimant $ 17,862.37 $ 130.00 Closed 17 2014027 SSO 3/7/2014 Jose Flores 2453 Pleasant Hill Rd. Pleasant Hill $ - $ 4,232.02 Servicemaster Open 18 2014032 SSO 12129/2013 __ Chubb for E. Sealy 52 Los Cerros Walnut Creek _ _ _$7S,0_00_.00_ 73,000.00 $ $ 32.53 - Claimant $ $ 4,264.55 73,000.00 Closed 19 2014029 PL 2/12/2014 David Platter 3404 Blackhawk Road Lafayette $ - $ 145.00 _ Claimant $ 145.00 Closed 20 2014033 PL 2/25/2014 C. O'Connelft Garrabn 14 St. Stephen's Drive Orinda $ - $ 140.00 Claimant $ 1_40.00 Open 21 2014034 SSO 4/2/2014 Rossmoor 3466 Tice Creek Dr. Walnut Creek $ 5,000.00 $ 5,000.00 Total - OF /PR $ 84,300.00 $ 43,264.51 $ 127,564.51 CCCSD 2013 -14 Loss Control Report LIABILITY INCIDENTS - OTHER Status # ID# Type DOL Other Party Address City Reserve Paid to Date Paid to Incident Total Re -Open A 2013006 GL —_ 9/8/2012 Tannaz Heaney MH at 212 Ludell Dr. Uninc. CCC $ - $ - $ - Closed 1 2014012 GL 6/1013 0/2 PG &E 91 Orchard Rd. 0dnda $ - $ 956.60 PG &E $ 956.60 Closed 2 2014014 GL Unknown Bulldog Gas 890 Waterbird Way Martinez $ - $ - $ - Closed 3 2014015 GL 10/8/2013 Tom Loukos 267 Fairway Dr. Danville $ - Contractor Paid $ - Open 4 2014018 GL 1215/2013 Bob Burke 1067 Glen Rd. Lafayette $ 20,000.00 $ 17,399.00 Claimant $ 37,399.00 Closed 5 2014019 GL 12/5/2013 Steve Kubitschek 3626 Happy Valley Glen Lafayette $ - $ 13,778.78 $ 13,778.78 Closed 6 2014023 GL California Riverwatch $ - $ 45,000.00 CA Riverwatch $ - $ 10,000.00 WC Watershed Cl. $ 55,000.00 Open 7 2014025 GL 10/12/2013 Gilbert Enriquez So Cal Resident Danville $ - $ - $ - Open 8 2014028 GL 10/12/2013 Stacie Enriquez So Cal Resident Danville $ - $ - $ Closed 9 2014030 GL 3/11/2014 Juliette Morton 3124 Via Larga Alamo $ - $ 3,293.25 Claimant $ 3,293.25 Closed 10 2014031 GL 12/17/2013 David Gold 4020 Natasha Drive Lafayette $ $ 2,800.00 Claimant $ 2,800.00 PROPERTY INCIDENTS Status # ID# Loss Type Closed 1 2014016 PD AUTO INCIDENTS Status # ID# Loss Type Open B 2013015 AL PD AL BI Closed 1 2014010 AL Closed 2 2014013 AL Total - Liab. $ 20,000.00 $ 90,427.63 $ 110,427.63 DOL Other Party Address City Reserve Paid to Date Paid to Incident Total 11/16/2013 Unknown Imhoff Drive Martinez $ 398.00 Alta Fence Co. $ 398.00 Total - Auto $ 5,000.00 $ 8,651.72 $ 13,651.72 Note: Prior fiscal year closed claims have been removed from report. 411612014 Total - Prop. $ - $ 398.00 $ 398.00 DOL Other Party Location Veh# Reserve Paid to Date Paid to Incident Total 1/2/2013 Bill Tam, Eileen Chan Lafayette #181 Hydro $ - $ 4,686.50 Claimant Jocelyn Tam – $ 5,000.00 $ - $ 9,686.50 8/13/2013 None Service Road - Annex #209 Pickup $ 2,130.27 Russo Auto Body $ 2,130.27 9/17/2013 None Wilder Subdivision #248 Pickup $ 1,834.95 Lafayette Auto Body $ 1,834.95 Total - Auto $ 5,000.00 $ 8,651.72 $ 13,651.72 Note: Prior fiscal year closed claims have been removed from report. 411612014