HomeMy WebLinkAbout05.b.1) Loss Control ReportCCCSD 2014 -15 Loss Control Reporl
New Incident Prior Fiscal Year Incident
Ongoing Incident Litigated Matter
OVERFLOWS AND PLUMBING REIMBURSEMENTS
Status # ID# Loss DOL Other Partv Address City
Closed
1 2015001
SSO
7/17/2014
Vini Ramsay
973 Hawthorne Dr.
Walnut Creek
Closed
2 2015002
SSO
7/22/2014
Bruce Moen
912 Hawthorne Dr.
Walnut Creek
Closed
3 2015003
PL
8/11/2014
Round Hill Country
Club 3169 Round Hill Rd.
Alamo
Open
4 2015005
SSO
8/25/2014
Hillside Apts.
25 El Mirador
Walnut Creek
Closed
5 2015007
SSO
8/12/2014
UfeGate Church
535 Walnut Ave.
Walnut Creek
Closed
6 2015008
PL
717 & 8118/14 John & Mary Kelly
450 Muller Rd.
Walnut Creek
Closed
7 2015009
SSO
9/5/2014
Kdz Planet
2245 Morello Ave.
Pleasant Hill
Sb. \>
Reserve Paid to Date
Paid to
Incident Total
73,000.00 $ -
Denied
$
73,000.00
$ 293.80
ServiceMaster
$
293.80
$ 3,578.64
$ 990.00
ServiceMaster
Claimant
$
4,568.64
$ 189.75
Round Hill Country
( $
189.75
5,000.00 $ 6,277.98
ServiceMaster
$
11,277.98
$ 370.62
ServiceMaster
$
370.62
$ 238.00
Claimant
$
238.00
$ 5,186.01
$ 23,376.45
Claimant
ServiceMaster
$
28,562.46
Closed
8
2015010
PL
8/18 & 8/28/14 Robert Vedovi
328 Camino Sobrante
Orinda
$ -
$ 275.00
Claimant
$ 275.00
Open
9
2015017
SSO
11/18/2014 Adele King
326 E Street
Martinez
$ 2,500.00
$
$ 2,500.00
LIABILITY INCIDENTS
- OTHER
Total - OF/PR
$ 60,500.00
$ 40,776.25
$ 121,276.25
Status
#
ID#
Loss
Type
DOL Other Party
Address
City
Reserve
Paid to Date
Paid to
Incident Total
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
$ 37,399.00
Open
D
2014025
GL
10/1212013 Gilbert & Stacie Enrique: 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
5/2012014 Mark DeBaca
1140 Vallecito Ct.
Lafayette
$
$
Denied
$
Closed
1
2015004
GL
7/18/2014 RCR Property Mgt.
928 Main Street
Martinez
$
$ 13,425.00
Claimant
$ 13,425.00
Closed
2
2015006
GL
8/27/2014 Jim Haman
1017 Hacienda Dr.
Walnut Creek
$
$ 3,470.81
$ 2,664.63
$ 785.00
$ 1,350.16
Claimant
ServiceMaster
Roto Rooter
Claimant
$ 8,270.60
Closed
3
2015011
GL
10/27/2014 Bruce Reeves
1025 Hacienda Dr.
Walnut Creek
$
$ 1,554.00
Claimant
$ 1,554.00
Open
4
2015014
GL
10/28/2014 Andy Akay
85 La Espiral
Ornda
$
$
$
Open
5
2015015
GL
111712014 Kim Vogel
69 La Espiral
Orinda
$ 100,000.00
$ 100,000.00
Open
6
2015016
GL
512312014 Valorie Rice
16 Dudley Ct.
Pleasant Hill
$
$
$
Open 7
PROPERTY
2015018 GL
INCIDENTS
11/18/2014 Tessa Clute
2379 Roundhill Drive
Alamo
Total - Liab.
$
$ 120,000.00
$ 77.00
$ 40,725.60
Claimant
$ 77.00
$ 160,725.60
Status
#
ID#
Loss
Type
DOL Other Party
Address
City
Reserve
Paid to Date
Paid to
Incident Total
AUTO INCIDENTS
Total - Prop.
$
$
$ -
Status
#
ID#
Loss
Tvpe
DOL Other Party
Location
Veh#
Reserve
Paid to Date
Paid to
Incident Total
Inactive
1
2013015
AL BI
1/2/2013 Jocelyn Tam
Lafayette
#181 Hydro
$ 5000.00 $
Claimant
$ 5,000.00
Open
1
2015012
APO
10/28/2014 Ross Goodheart
Morello & Taylor, PH
#247
$ -
$
Open 2 2015013 APO 10/23/2014 None Treatment Plant
Note: Prior fiscal year closed claims have been removed from report.
#214
Total - Auto
$ -
$ 5,000.00
$
$
1112512014
$ 5,000.00