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Home My WebLink About04.a. Loss Control Report+a - OVERFLOWS AND PLUMBING REIMBURSEMENTS CCCSD 2013 -14 Loss Control Report New Incident Prior Fiscal Year Incident Ongoing Incident Status Litigated Matter +a - 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 $ 628.00 Servicemaster $ 848.13 Closed 2 2014002 SSO 7/31/2013 Ed Hollshwander 3158 Maryola Ct. Lafayette $ - $ 379.50 $ 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 Scott Bramhall 77 Oak Knoll Loop Walnut Creek $ - $ 3,224.64 Servicemaster 77 Oak Knoll Loop Walnut Creek $ 6,795.00 Scott Bramhall Belinda Ledgerwood 75 Oak Knoll Loop Walnut Creek $ - $ 1,045.96 Servicemaster $ 11,065.60 Closed 7 2014007 SSO 101712013 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 $ 1,244.48 Servicemaster $ 1,641.98 Closed 11 2014017 SSO 12/14/2013 Steve Grogan 431 Ridgeview Dr. Pleasant Hill $ - $ 3,200.00 Claimant $ 967.43 ServiceMaster $ 4,167.43 Closed 12 2014020 PL 12/19/2013 Sheryl Sherry 178 Plaza Circle Danville $ - $ 51.01 Claimant $ 51.01 Closed 13 2014021 PL 1/1712014 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 $ 17,862.37 Closed 16 2014026 PL 12/26/2013 Krista Imrie 763 Old Jonas Hill Road Lafayette $ - $ 130.00 Claimant $ 130.00 Closed 17 2014027 SSO 3/7/2014 Jose Flores 2453 Pleasant Hill Rd. Pleasant Hill $ - $ 4,232.02 Servicemaster $ 32.53 Claimant $ 4,264.55 Inactive 18 2014032 SSO 12/29/2013 Chubb for E. Sealy 52 Los Cerros Walnut Creek $ 73,000.00 $ - Denied $ 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'ConnelUM. Garrabr 14 St. Stephen's Drive Orinda $ - $ 140.00 Claimant $ 140.00 Closed 21 2014034 SSO 4/2/2014 Rossmoor 3466 Tice Creek Dr. Walnut Creek $ - $ 5,328.84 ServiceMaster $ 5,328.84 Closed 22 2014036 SSO 5/6/2014 Nadine Shahan 1079 Sierra Vista Wy Lafayette $ 1,055.84 ServiceMaster $ 1,055.84 $ 572.31 Claimant $ 572.31 Closed 23 2014037 PL 4/8/2012 Robert Denman 20 Parkway Court Orinda $ - $ 466.95 Claimant $ 466.95 Closed 24 2014038 PL 4/20/2014 Lindsay Patton 155 Andrea Drive Walnut Creek $ - $ 827.00 Claimant $ 827.00 Closed 25 2014040 SSO 4/8/2014 Chet Chappell 912 Hawthorne Dr. Lafayette $ - $ 375.00 Claimant Total - OF /PR $ 79,300.00 $ 51,890.45 $ 131,190.45 LIABILITY INCIDENTS Status # ID# Open A 2013006 Closed 1 2014012 Closed 2 2014014 Closed 3 2014015 Inactive 4 2014018 Closed 5 2014019 Closed 6 2014023 Open 7 2014025 Open 8 2014028 Closed 9 2014030 Closed 10 2014031 Inactive 11 2014035 Open 12 2014039 Open 13 2014041 - OTHER Loss Type GL GL GL _ GL GL GL GL GL GL GL GL GL GL GL PROPERTY INCIDENTS Status # ID# Loss Type Closed 1 2014016 PD AUTO INCIDENTS Status # ID# Loss Unknown Bulldog Gas 10/8/2013 Type Inactive B 2013015 AL BI Closed $ - Contractor Paid AL PD Closed 1 2014010 AL Closed 2 2014013 AL CCCSD 2013 -14 Loss Control Report DOL Other Party 9/8/2012 Tannaz Heaney 6/10/2013 PG &E Unknown Bulldog Gas 10/8/2013 Tom Loukos 1215/2013 Bob Burke 12/5/2013 Steve Kubitschek California Riverwatch 10112/2013 Gilbert Enriquez 10/12/2013 Stacie Enriquez 3/11/2014 Juliette Morton 12/17/2013 David Gold 7113/2013 City of Lafayette 11/2/2013 Scott Swinton 5/2012014 Mark DeBaca DOL Other Party 11/16/2013 Unknown DOL Other Party 1/2/2013 Jocelyn Tam Bill Tam, Eileen Chan 8/13/2013 None 9/17/2013 None Address City Reserve Paid to Date Paid to Incident Total MH at 212 Ludell Dr. Uninc. CCC $ - $ - $ _ 91 Orchard Rd. Orinda $ - $ 956.60 PG &E $ 956.60 890 Waterbird Way Martinez $ - $ - $ - 267 Fairway Dr. Danville $ - Contractor Paid $ - 1067 Glen Rd. Lafayette $ 20,000.00 $ 17,399.00 Claimant $ 37,399.00 3626 Happy Valley Glen Lafayette $ - $ 13,778.78 $ 13,778.78 Address Imhoff Drive Location Lafayette Total - Liab. $ 20,000.00 $ 90,427.63 City Reserve Paid to Date Paid to Martinez $ 398.00 Alta Fence Co Total - Prop. $ - $ 398.00 Veh# #181 Hydro Service Road - Annex #209 Pickup Wilder Subdivision #248 Pickup Total - Auto $ 110,427.63 Incident Total $ 398.00 $ 398.00 Reserve Paid to Date Paid to Incident Total $ 5,000.00 $ - Claimant $ 4,686.50 $ 9,686.50 $ 2,130.27 Russo Auto Body $ 2,130.27 $ 1,834.95 Lafayette Auto Body $ 1,834.95 $ 5,000.00 $ 8,651.72 $ 13,651.72 Note: Prior fiscal year closed claims have been removed from report. 611712014 $ - $ 45,000.00 CA Riverwatch $ - $ 10,000.00 WC Watershed Cl. $ 55,000.00 So Cal Resident Danville $ - $ - Denied $ - So Cal Resident Danville $ - $ - Denied $ - 3124 Via Larga Alamo $ - $ 3,293.25 Claimant $ 3,293.25 4020 Natasha Drive Lafayette $ - $ 2,800.00 Claimant $ 2,800.00 4120 Happy Valley Rd. Lafayette $ $ $ - Loc: Sycamore Valley I Danville $ $ - Denied $ 1140 Vallecito Ct. Lafayette $ $ $ Address Imhoff Drive Location Lafayette Total - Liab. $ 20,000.00 $ 90,427.63 City Reserve Paid to Date Paid to Martinez $ 398.00 Alta Fence Co Total - Prop. $ - $ 398.00 Veh# #181 Hydro Service Road - Annex #209 Pickup Wilder Subdivision #248 Pickup Total - Auto $ 110,427.63 Incident Total $ 398.00 $ 398.00 Reserve Paid to Date Paid to Incident Total $ 5,000.00 $ - Claimant $ 4,686.50 $ 9,686.50 $ 2,130.27 Russo Auto Body $ 2,130.27 $ 1,834.95 Lafayette Auto Body $ 1,834.95 $ 5,000.00 $ 8,651.72 $ 13,651.72 Note: Prior fiscal year closed claims have been removed from report. 611712014