HomeMy WebLinkAbout03.a. Loss Control ReportCCCSD 2014 -15 Loss Control Report
BNew 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
Type
Inactive
A
2014032
SSO
12/29/2013
Chubb for E. Sealy
52 Los Cerros
Walnut Creek
$ 73,000.00 $ -
Denied
Closed
1
2015001
SSO
7/17/2014
Vini Ramsay
973 Hawthorne Dr.
Walnut Creek
$ 296.80
ServiceMaster
Closed
2
2015002
SSO
7/22/2014
Bruce Moen
912 Hawthorne Dr.
Walnut Creek
$ 3,578.64
ServiceMaster
Closed
3
2015003
SSO
8/11/2014
Round Hill Country Clu 3169 Round Hill Road Alamo
$ 189.75
Round Hill Country
Open
4
2015005
SSO
8/25/2014
GL
25 El Mirador
Walnut Creek
4120 Happy Valley Rd. Lafayette
$
Total - OF /PR $ 73,000.00 $ 4,065.19
LIABILITY INCIDENTS - OTHER
Status
#
ID#
Loss
DOL
Other Party
Address City
Reserve
Paid to Date
Paid to
Typ
Open
B
2013006
GL
9/8/2012
Tannaz Heaney
MH at 212 Ludell Dr. Uninc. CCC
$ -
$ -
Inactive
C
2014018
GL
12/5/2013
Bob Burke
1067 Glen Rd. Lafayette
$ 20,000.00
$ 17,399.00
Claimant
Open
D
2014025
GL
10112/2013
Gilbert Enriquez
So Cal Resident Danville
$ -
$
Open
E
2014028
GL
10/12/2013
Stacie Ennquez
So Cal Resident Danville
$
$
Inactive
F
2014035
GL
7/13/2013
City of Lafayette
4120 Happy Valley Rd. Lafayette
$
$
Inactive
G
2014039
GL
11/2/2013
Scott Swinton
Loc: Sycamore Valley R Danville
$
$
Denied
Inactive
H
2014041
GL
5/20/2014
Mark DeBaca
1140 Vallecito Ct. Lafayette
$ -
$
Denied
Closed
2
2015004
GL
7118/2014
RCR Property Mgt
928 Main Street Martinez
$
$ 13.425.00
Claimant
Total - Liab. $ 20,000.00 $ 30,824.00
PROPERTY INCIDENTS
Status # ID# Loss DOL Other Party Address City Reserve Paid to Date Paid to
T....
Total - Prop. $ - $
AUTO INCIDENTS
Status # ID# Toss DOL Other Party Location Veh# Reserve Paid to Date Paid to
Inactive I 2013015 AL BI 1/2/2013 Jocelyn Tam Lafayette #181 Hydro $ 5,000.00 $ - Claimant
Total - Auto $ 5,000.00 $
Note: Prior fiscal year closed claims have been removed from report. 811912014