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Home My WebLink About4.c. Loss Control ReportC. CCCSD 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 Reserve Paid to Date Paid to Incident Total Type Closed 2015001 SSO 7/17/2014 Vini Ramsay 973 Hawthorne Dr. Walnut Creek $ $ 293.80 ServiceMaster $ 293.80 Closed 2 2015002 SSO 7/22/2014 Bruce Moen 912 Hawthorne Dr. Walnut Creek $ $ 3,578.64 ServiceMaster _ Inactive F 2014035 GL 7/13/2013 City of Lafayette 4120 Happy Valley Rd. Lafayette $ - $ $ 990.00 Claimant $ 4,568.64 Closed 3 2015003 PL 8/11/2014 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 _ Closed 1 2015004 GL 7/1812014 RCR Property Mgt. 928 Main Street Martinez $ - $ $ 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 717 & 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 Closed 3 2015011 GL 10/27/2014 Bruce Reeves 1025 Hacienda Dr. Walnut Creek $ $ 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 Closed 9 2015017 SSO 11/18/2014 Adele King 326 E Street Martinez $ 3,974.94 ServiceMaster $ 100.00 Claimant Open SSO Michelle Hartman 1950 San Luis Rd Walnut Creek $ $ 6,000.00 $ 7,252.02 660.00 ServiceMaster Munoz Landscaping $ 12,826.96 10 2015020 12/22/2014 2015021 12/22/2014 Mike Balmy 2010 San Luis Rd Walnut Creek $ 500.00 2015022 12/2212014 Kozyreva Family 975 Wellbome Ct. Walnut Creek $ 8,000.00 $ 7,000.00 Marina Kogan $ 22,160.00 Closed 11 2015023 SSO 12/29/2014 Mike Dioquino 2031 La Salle Martinez $ - $ 2,676.23 ServiceMaster $ 2,676.23 Total - OF /PR $ 14,500.00 $ 69,939.61 LIABILITY INCIDENTS - OTHER $ 84,439.61 Status # ID# Loss DOL Other Party Address City Reserve Paid to Date Paid to Incident Total Type Open Inactive B C 2013006 2014018 GL GL __ 9/8/2012 12/512013 Tannaz Heaney Bob Burke MH at 212 Ludell Dr. 1067 Glen Rd. Uninc. CCC 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 $ - $ - $ _ Closed G 2014039 GL 11/212013 Scott Swinton Loc: Sycamore Valley R Danville $ - $ - De- enied $ _ Closed H 2014041 GL 5120/2014 Mark DeBaca 1140 Vallecito Ct. Lafayette $ - $ - Denied $ _ Closed 1 2015004 GL 7/1812014 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 Closed 3 2015011 GL 10/27/2014 Bruce Reeves 1025 Hacienda Dr. Walnut Creek $ $ - $ 1,350.16 1,554.00 Claimant Claimant $ $ 8,270.60 1,554.00 Open 4 2015014 GL 10/28/2014 Andy Akay 85 La Espiral Odnda $ 7,000.00 $ - $ 7,000.00 CCCSD 2014 -15 Loss Control Report Open 5 2015015 GL 11/7/2014 Kim Vogel 69 La Espiral Orinda $ 250,000.00 $ 20,000.00 Claimant PROPERTY INCIDENTS 11/7 /2014 Rick Baia Rice 11/18/2014 Tessa Clute 6/10/2014 Carone & 0 W f Claimant $ 118,374.31 Closed 6 2015016 GL nactive 7 2015018 GL Closed 8 2015019 GL Open 9 2015024 GL PROPERTY INCIDENTS 11/7 /2014 Rick Baia Rice 11/18/2014 Tessa Clute 6/10/2014 Carone & 0 W f Claimant Total - Liab. $ 277,000.00 $ 271,099.91 $ 548,099.91 Status # ID# Loss DOL Other Party Address City Reserve Paid to Date Paid to Incident Total Type Open 1 2014025 Prop 2/23/2015 NA Water Leak: Data Center $ 20,885.00 $ 175,142.41 Various $ 196,027.41 Total - Prop. $ 20,885.00 $ 175,142.41 $ 196,027.41 AUTO INCIDENTS Status # ID # Loss DOL Other Party Location Veh# Type Closed 1 2015012 APD 10/28/2014 Ross Goodheart Closed 2 2015013 APD 10/23/2014 None #181 Morello & Taylor, PH #247 Reserve $ 5,000.00 Paid to Date Paid to - Claimant 2,993.77 Mike's Auto Total - Auto $ 5,000.00 $ 2,993.77 Note: Prior fiscal year closed claims have been removed from report. 312512015 Incident Total $ 5,000.00 $ 2,993.77 $ 7,993.77 $ 118,374.31 ServiceMaster $ 478,374.31 50 La Espiral Orinda $ - $ 2,000.00 Claimant $ 2,000.00 16 Dudley Ct. Pleasant Hill $ - $ - Denied $ - 2379 Roundhill Drive Alamo $ - $ 77.00 Claimant $ 77.00 Contract Dispute DP 8404 $ - $ - $ - Total - Liab. $ 277,000.00 $ 271,099.91 $ 548,099.91 Status # ID# Loss DOL Other Party Address City Reserve Paid to Date Paid to Incident Total Type Open 1 2014025 Prop 2/23/2015 NA Water Leak: Data Center $ 20,885.00 $ 175,142.41 Various $ 196,027.41 Total - Prop. $ 20,885.00 $ 175,142.41 $ 196,027.41 AUTO INCIDENTS Status # ID # Loss DOL Other Party Location Veh# Type Closed 1 2015012 APD 10/28/2014 Ross Goodheart Closed 2 2015013 APD 10/23/2014 None #181 Morello & Taylor, PH #247 Reserve $ 5,000.00 Paid to Date Paid to - Claimant 2,993.77 Mike's Auto Total - Auto $ 5,000.00 $ 2,993.77 Note: Prior fiscal year closed claims have been removed from report. 312512015 Incident Total $ 5,000.00 $ 2,993.77 $ 7,993.77