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Home My WebLink About11.a. Loss Control ReportCCCSD 2014 -15 Loss Control Report New Incident Prior Fiscal Year Incident Ongoing Incident Litigated Matter OVERFLOWS AND PLUMBING REIMBURSEMENTS n Status # ID# Loss Type DOL Other Party Address City Reserve Paid to Date Paid to Incident Total $ 88,262.11 LIABILITY INCIDENTS - OTHER Status Closed 1 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 C 2014018 GL 12/5/2013 Bob Burke 1067 Glen Rd. Lafayette $ 20,000.00 $ 17,399.00 Claimant $ 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 8125/2014 Hillside Apts. 25 El Mirador Walnut Creek $ - $ 6,277.98 ServiceMaster G 2014039 GL 11/212013 Scott Swinton Loc: Sycamore Valley R Danville $ - $ - Denied $ $ 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 $ 2,664.63 ServiceMaster $ 23,376.45 ServiceMaster $ 28,562.46 Closed 8 2015010 PL 8/18 & 8128/14 Robert Vedovi 328 Camino Sobrante Orinda $ - $ 275.00 Claimant $ 275.00 Closed 9 2015017 SSO 11/18/2014 Adele King 326 E Street Martinez Claimant Claimant $ 3,974.94 ServiceMaster $ 1,600.00 Claimant $ 7,252.02 ServiceMaster $ 12,826.96 Closed 10 2015020 SSO 12/2212014 Michelle Hartman 1950 San Luis Rd Walnut Creek $ 660.00 Munoz Landscaping $ 4,563.85 Restoration Mgt 2015021 12/22/2014 Mike Balmy 2010 San Luis Rd Walnut Creek $ 134.23 Restoration Mgt 2015022 12/22/2014 Kozyreva Family 975 Wellborne Ct. Walnut Creek $ 7,000.00 Marina Kogan $ 13,624.42 Restoration Mgt $ 25,982.50 Closed 11 2015023 SSO 1212912014 Mike Dioquino 2031 La Salle Martinez _ $ $ 2,676.23 ServiceMaster $ 2,676.23 Total - OF /PR $ $ 88,262.11 $ 88,262.11 LIABILITY INCIDENTS - OTHER Status # ID# Loss Type DOL Other Party Address City Reserve Paid to Date Paid to Incident Total Open B 2013006 GL 918/2012 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 10/12/2013 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 $ - $ - 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 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 CCCSD 2014 -15 Loss Control Report Closed 4 2015014 GL 10/28/2014 An Akay 85 La Espiral Orinda $ 8,500.00 Claimant $ 8,500.00 Open 5 2015015 GL 11/7/2014 Kim Vogel 69 La Espiral Orinda $ 250.000.00 Closed 6 2015016 GL 11/7/2014 Rick Baie 50 La Espiral Orinda $ Inactive 7 2015018 GL 5/23/2014 Valorie Rice 16 Dudley Ct. Pleasant Hill $ Closed 8 2015019 GL 11/18/2014 Tessa Clute 2379 Roundhill Drive Alamo $ Open 9 2015024 GL 6/10/2014 Carona & Co. Contract Dispute DP 8404 $ PROPERTY INCIDENTS $ 20,000.00 Claimant $ 40,000.00 Claimant $ 50,000.00 Claimant $118,374.31 ServiceN $ 2,000.00 Claimant $ 2,000.00 $ - Denied $ - $ 77.00 Claimant $ 77.00 Total - Liab. $ 270,000.00 $ 279,599.91 $ 549,599.91 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 $ 35,000.00 $ 175,142.41 Various $ 210,142.41 Total - Prop. $ 35,000.00 $ 175,142.41 AUTO INCIDENTS $ 210,142.41 Status # ID# Loss Type DOL Other Party Location Veh# Reserve Paid to Date Paid to Incident Total Open 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 $ - $ 2,993.77 Mike's Auto Body $ 2,993.77 Total - Auto $ 5,000.00 $ 2,993.77 $ 7,993.77 Note: Prior fiscal year closed claims have been removed from report. 411312015 Self Insurance Fund Legal Expenses: Quarterly Report Fund /LoB A /GL A /GL A /GL B /PLL B /PLL B /EPL Case Name Heaney Enriquez Rubio Greg. Village' Schaeffer 2 AB 197 3 Case Type Trip /Fall BI Bicycle /BI Bicycle /BI Pollution Pollution Retirement Counsel Meyers Nave Meyers Nave Meyers Nave Meyers Nave Meyers Nave Meyers Nave Prior Subtotals $ 7,661 $ - $ - $ 267,772 $ 193,136 $ 10,144 2013 -14 Subtotals $ 30,446 $ - $ - $ 5,416 $ 3,390 $ 124,506 Jul -14 $ 5,387 $ 1,615 $ 2,458 $ 2,599 $ 20 $ 4,548 Aug -14 $ 945 $ 353 $ - $ 9,305 $ 207 $ 1,688 Sep -14 $ 5,144 $ 1,544 $ - $ 11,212 $ - $ 1,298 Oct -14 $ 509 $ 1,222 $ - $ 3,984 $ 151 $ 153 Nov -14 $ 123 $ 548 $ - $ 7,105 $ 151 $ 97 Dec -14 $ 162 $ 757 $ - $ 1,022 $ 40 $ 25 2014 -15 ST $ 12,270 $ 6,039 $ 2,458 $ 35,227 $ 570 $ 7,810 Jan -15 Feb -15 Mar -15 Apr -15 May -15 Jun -15 Total Services Expert Expenses $ $ 50,376 - $ $ 6,039 - $ $ 2,458 - $ $ 308,415 84,817 $ $ 197,097 - $ $ 142,461 - Total Legal $ 50,376 $ 6,039 $ 2,458 $ 393,232 $ 197,097 $ 142,461 NOTES 1: includes work with RWQCB regarding CAO 2: does not include legal expenses assumed by insurer 3: includes appeal cost ($4,493) Recently Closed Matters None 411312015