HomeMy WebLinkAbout04.a. Loss Control ReportCCCSD 2014 -15 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
Type
Reserve Paid to Date Paid to
Inactive A 2014032 SSO 12/29/2013 Chubb for E. Sealy 52 Los Cerros Walnut Creek
$
73,000.00 $
Open 1 2015001 SSO 7/17/2014 Vint Ramsay 973 Hawthorne Dr. Walnut Creek
$
600.00 $
Total - OF /PR
$
73,600.00 $
LIABILITY INCIDENTS - OTHER
Unmc. CCC
$
Status
#
ID#
Loss
DOL
Other Party
Danville
$
. _
- $
Type
Danville
_
$
Open
B
2013006
GL
9/8/2012
Tannaz Heaney
Inactive
C
2014018
GL
12;5/2013
Bob Burke
Open
D
2014025
GL
10/1212013
Gilbert Enriquez
Open
E
2014028
GL
10/12/2013
Stacie Enriquez
Inactive
F
2014035
GL
7/13/2013
City of Lafayette
Inactive
G
2014039
GL
111212013
Scott Swinton
Inactive
H
2014041
GL
5/20/2014
Mark DeBaca
PROPERTY INCIDENTS
Status # ID# Loss
Type
AUTO INCIDENTS
Status # ID# Loss
We
Inactive 1 2013015 AL BI
DOL Other Party
DOL Other Party
1/2/2013 Jocelyn Tam
Address
Denied
City Reserve Paid to Date Paid to
MH at 212 Ludell Ur.
Unmc. CCC
$
- $ -
1067 Glen Rd.
Lafayette
$
20,000.00 $ 17,399.00 Claimant
So Cal Resident
Danville
$
. _
- $
So Cal Resident
Danville
_
$
- $ -
4120 Happy Valley Rd.
Lafayette
$
$ -
Loc: Sycamore Valley Ri Danville
$
$ - Dented
1140 Vallecito Ct.
Lafayette
$
$ - Denied
Total - Liab. $ 20,000.00 $ 17,399.00
Address City Reserve Paid to Date Paid to
Total - Prop. $ - $
Location Veh# Reserve Paid to Date Paid to
Lafayette #181 Hydro $ 5,000.00 $ Claimant
Total - Auto $ 5,000.00 $
Note: Prior fiscal year closed claims have been removed from report. 711712014
+0(.
Incident Total
$ 73,000.00
$ 600.00
$ 73,600.00
Incident Total
$
$ 37,399.00
$ 37,399.00
Incident Total
Incident Total
$ 5,000.00