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HomeMy WebLinkAbout05.c. Loss Control ReportCCCSD 2014 -15 Loss Control Report New Incident Prior Fiscal Year Incident Ongoing Incident Litigated Matter OVERFLOWS AND PLUMBING REIMBURSEMENTS Status # ID# Type DOL Other Party Address City Reserve Paid to Date Paid to Incident Total Closed Closed 1 2 2015001 2015002 SSO SSO 7/17/2014 7/22/2014 Vini Ramsay Bruce Moen 973 Hawthorne Dr. 912 Hawthorne Dr. Walnut Creek Walnut Creek $ - $ - $ $ $ 293.80 3,578.64 990.00 ServiceMaster ServiceMaster Claimant $ $ 293.80 4,568.64 Closed 3 2015003 PL 8111/2014 Round Hill Country Club 3169 Round Hill Rd. Alamo $ - $ 189.75 Round Hill Country Club $ 189.75 Closed 4 2015005 SSO 8/25/2014 Hillside Apts. 25 El Mirador Walnut Creek $ - $ 6,277.98 ServiceMaster _ - $ - $ $ 1,600.00 Claimant GL 7/13/2013 City of Lafayette 4120 Happy Valley Rd. Lafayette $ 6,000.17 ServiceMaster $ 12,278.15 Closed 5 2015007 SSO 8/12/2014 LifeGate Church 535 Walnut Ave. Walnut Creek $ - $ 370.62 ServiceMaster $ 370.62 Closed 6 2015008 PL 7/7 & 8/18/14 John & Mary Kelly 450 Muller Rd. Walnut Creek $ - $ 238.00 Claimant $ 238.00 Closed 7 2015009 SSO 9/5/2014 Kidz Planet 2245 Morello Ave. Pleasant Hill $ - $ 5,186.01 Claimant GL 12/22/2014 Total - OF /PR $ 29,500.00 $ 60,213.60 $ 89,713.60 LIABILITY INCIDENTS - OTHER Status # ID# Loss DOL Other Party Address City Reserve Paid to Date Paid to $ 23,376.45 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 11118/2014 Adele King 326 E Street Martinez _12/5/2013 _Tannaz Bob Burke $ 3,974.94 ServiceMaster $ 17,399.00 Claimant $ 37,399.00 Open D 2014025 GL 10/12/2013 Gilbert &Stacie E_ nric_Lue: So Cal Resident Danville _ - $ - $ $ 1,600.00 Claimant GL 7/13/2013 City of Lafayette 4120 Happy Valley Rd. Lafayette _$ $ - $ - $ - Closed G $ 7,500.00 11/212013 Scott Swinton Loc: Sycamore Valley R Danville $ 13,074.94 Open 10 2015020 SSO 12/22/2014 Michelle Hartman 1950 San Luis Rd Walnut Creek $ 6,500.00 1025 Hacienda Dr. Walnut Creek $ - $ 1,554.00 Claimant $ 1,554.00 2015021 4 12/22/2014 Mike Balmy 2010 San Luis Rd Walnut Creek $ 500.00 $ - $ - $ - Open 5 2015022 GL 12/22/2014 Kozyreva Family 975 Wellborne Ct. Walnut Creek $ 15,000.00 $ 22,000.00 Closed 11 2015023 SSO 12/29/2014 Mike Dioquino 2031 La Salle Martinez $ - $ 2,676.23 ServiceMaster $ 2,676.23 Total - OF /PR $ 29,500.00 $ 60,213.60 $ 89,713.60 LIABILITY INCIDENTS - OTHER Status # ID# Loss DOL Other Party Address City Reserve Paid to Date Paid to Incident Total Denied $ - Closed Type 2015004 GL 7/18/2014 RCR Property Mgt. 928 Main Street Martinez $ - Open B 2013006_ GL 9/8/2012 Heaney MH at 212 Ludell Dr_. Uninc. CCC $ - $ - $ - _Inactive_ C 2014018 GL _12/5/2013 _Tannaz Bob Burke 1067 Glen Rd. Lafayette_ $ 20,000.00 $ 17,399.00 Claimant $ 37,399.00 Open D 2014025 GL 10/12/2013 Gilbert &Stacie E_ nric_Lue: So Cal Resident Danville _ - $ - $ Inactive F 2014035 GL 7/13/2013 City of Lafayette 4120 Happy Valley Rd. Lafayette _$ $ - $ - $ - Closed G 2014039 GL 11/212013 Scott Swinton Loc: Sycamore Valley R Danville $ - $ - Denied $ - Closed H 2014041 GL 5/20/2014 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 Claimant $ 2,664.63 ServiceMaster $ 785.00 Roto Rooter $ 1,350.16 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 106/2014 Andy Akay 85 La Espiral Orinda $ - $ - $ - Open 5 2015015 GL 11/7/2014 10m Vogel 69 La Espiral Orinda $ 250,000.00 CCCSD 2014 -15 Loss Control Report $ 20,000.00 Claimant $ 40,000.00 Claimant $123,946.98 ServiceMaster $ 433,946.98 Closed 6 2015016 GL 11/7/2014 Rick Baie 50 La Espiral Orinda $ - $ 2,000.00 Claimant $ 2,000.00 Inactive 7 2015018 GL 5/23014 Valorie Rice 16 Dudley Ct. Pleasant Hill $ - $ - Denied $ - Closed 8 2015019 GL 11/18/2014 Tessa Clute 2379 Roundhill Drive Alamo $ - $ 77.00 Claimant $ 77.00 Open 9 2015024 GL 6/10/2014 Camne & Co. Contract Dispute DP 8404 $ - $ - $ - Total - Liab. $ 270,000.00 S 226,672.58 $ 496,672.58 PROPERTY INCIDENTS Status # ID# Loss DOL Other Party Address City Reserve Paid to Date Paid to Incident Total Tuna Total - Prop. S - $ AUTO INCIDENTS Status # ID# Loss DOL Other Party Location Veh# Reserve Paid to Date Paid to Incident Total Type Inactive 1 2013015 AL BI 1/2/2013 Jocelyn Tam Lafayette #181 Hydro $ 5,000.00 $ - Claimant $ 5,000.00 Closed 1 2015012 APD 10/28/2014 Ross Goodheart Morello & Taylor, PH #247 $ - $ - $ - Closed 2 2015013 APD 10/23/2014 None Treatment Plant #214 Total - Auto $ - $ 2,993.77 Mike's Auto Body $ 2,993.77 $ 5,000.00 $ 2,993.77 $ 7,993.77 Note: Prior fiscal year closed claims have been removed from report. 21412015