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Home My WebLink About06.c. Loss Control ReportCCCSD 2014 -15 Loss Control Report New Incident � Prior Fiscal Year Incident Ongoing Incident Litigated Matter OVERFLOWS AND PLUMBING REIMBURSEMENTS Io-C% Status # ID# Loss Type DOL Other Party Address City Inactive Reserve Paid to Date Paid to Incident Total Closed 1 2015001 SSO_ 7/17/2014 Vini Ramsay 973 Hawthorne Dr. Walnut Creek $ $ 293.80 ServiceMaster $ 293.80 Closed 2 2015002 SSO 7122/2014 Bruce Moen 912 Hawthorne Dr. Walnut Creek $ - $ 3,578.64 ServiceMaster Martinez Closed Closed 3 2015003 PL 8/11/2014 Round Hill Country Club 3169 Round Hill Rd. Alamo $ $ - $ 990.00 189.75 Claimant Round Hill Country Club $ $ 4,568.64 189.75 Closed 4 2015005 SSO 8125/2014 Hillside Apts. 25 El Mirador Walnut Creek $ - $ 6,277.98 ServiceMaster Closed 5 2015007 SSO 8/12/2014 LifeGate Church 535 Walnut Ave. Walnut Creek $ $ - $ 6,000.17 370.62 ServiceMaster ServiceMaster $ 12,278.15 $ 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 Closed 8 2015010 PL 8/18 & 8/28/14 Robert Vedovi 328 Camino Sobrante Orinda $ $ - $ 23,376.45 275.00 ServiceMaster Claimant $ $ 28,562.46 275.00 Closed 9 2015017 SSO 11/18/2014 Adele King 326 E Street Martinez $ 3,974.94 ServiceMaster $ 1,600.00 Claimant Closed 10 2015020 SSO 12/22/2014 Michelle Hartman 1950 San Luis Rd Walnut Creek $ $ 7,252.02 660.00 ServiceMaster Munoz Landscaping $ 12,826.96 $ 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 12/29/2014 Mike Dioquino 2031 La Salle Martinez $ $ 2,676.23 ServiceMaster $ 2,676.23 Open 12 2015026 SSO 412512015 Anjela Ahlborn 275 La Casa Via Walnut Creek $ 2,500.00 $ 2,500.00 0 an 13 2015027 S F SO 51312015 Laura Fend 191 Village Q. Walnut Creek $ 5,500.00 Alma Jackson 190 VillageCt Walnut Creek $ 3,500.00 $ 299.75 Claimant $ 9,299.75 Total - OF /PR $ 11,500.00 $ 88,561.86 LIABILITY INCIDENTS - OTHER Status # ID# Loss DOL Other Party Address City Tvoe 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 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 1 2015004 GL 7/18/2014 RCR Property Mgt. 928 Main Street Martinez Closed 2 2015006 GL 8/27/2014 Jim Haman 1017 Hacienda Dr. Walnut Creek $ 100,061.86 Reserve Paid to Date Paid to Incident Total $ 20,000.00 $ 17,399.00 Claimant $ 37,399.00 $ - $ 13,425.00 Claimant $ 13,425.00 $ - $ 3,470.81 Claimant $ 2,664.63 ServiceMaster $ 785.00 Roto Rooter $ 1,350.16 Claimant $ 8,270.60 CCCSD 2014 -15 Loss Control Report Closed 3 2015011 GL 10/27/2014 Bruce Reeves 1025 Hacienda Dr. Walnut Creek $ - $ 1,554.00 Claimant $ 1,554.00 Closed 4 2015014 GL 10/28/2014 Andy Akay 85 La Espiral Orinda Closed $ 8,500.00 Claimant $ 8,500.00 Open 5 2015015 GL 1117/2014 Kim Vogel 69 La Espiral Orinda 10/23/2014 $ 20,000.00 Claimant $ $ 2,993.77 Mike's Auto Body $ 2,993.77 Closed 3 2015026 APD 10/30/2015 L. Sweetnam Hwy 24 @ PH Road #237 $ 40,000.00 Claimant $ 881.82 $ 50,000.00 Claimant $ 118,374.31 ServioeMaster $ 2,061.50 DCM Consulting Closed 6 2015016 GL 11/7/2014 Rick Baie 50 La Espiral Orinda $ $ $ (116,973.49) 2,000.00 Travelers' Contribution Claimant $ $ 113,462.32 2,000.00 Inactive 7 2015018 GL 5/23/2014 Valode Rice 16 Dudley Ct. Pleasant Hill $ $ Denied $ Closed 8 2015019 GL 11/1812014 Tessa Clute 2379 Roundhill Drive Alamo $ $ 77.00 Claimant $ 77.00 Open 9 2015024 GL 6110/2014 Carone & Co Contract Dispute DP 8404 $ $ $ Closed 10 2015028 GL 2/11/2015 Jennie Samuels 375 Grandview Martinez $ $ 3,517.00 Roto Rooter $ 3,517.00 Closed 11 2015029 GL 4130/2015 Michael Conley 31 Crestview Dr._ Odnda $ $ 5,450.00 Claimant $ 5,450.00 Total - Liab. $ 20,000.00 $ 168,204.92 $ 188,204.92 PROPERTY INCIDENTS Status # ID# X055 DOL Other Party Address City Reserve Paid to Date Paid to Incident Total _ Type Open 1 2014025 Prop 2/2312015 NA Water Leak: Data Center $ 35.000.00 $ 175,142.41 Various $ 210,142.41 Total - Prop. $ 35,000.00 $ 175,142.41 $ 210,142.41 AUTO INCIDENTS Status # ID# Loss Type DOL Other Party Location Veh# Reserve Paid to Date Paid to Incident Total Closed I 2013015 AL BI 1/2/2013 Jocelyn Tam Lafayette #181 Hydro $ $ 6,500.00 Claimant $ 6,500.00 Closed 1 2015012 APD 10/28014 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 Closed 3 2015026 APD 10/30/2015 L. Sweetnam Hwy 24 @ PH Road #237 $ $ 881.82 East Bay Truck $ 881.82 Total - Auto $ - $ 10,375.59 $ 10,375.59 Note: Prior fiscal year closed claims have been removed from report. 511812015