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Home My WebLink About03. (Handout) Loss Control ReportCCCSD 2014 -15 Loss Control Report New Incident Prior Fiscal Year Incident Ongoing Incident Litigated Matter OVERFLOWS AND PLUMBING REIMBURSEMENTS 3. (Handout) Status # ID# Loss DOL Other Party Address City # Reserve Paid to Date Paid to Incident Total Address City Reserve Paid to Date Paid to Type $ 13,425.00 Claimant $ 13,425.00 Open 2 2015006 GL 8/27/2014 Jim Haman 1017 Hacienda Dr. Walnut Creek $ 1,000.00 Inactive A 2014032 SSO 12/29/2013 Chubb for E. Sealy 52 Los Cerros Walnut Creek $ 73,000.00 $ Denied $ 73,000.00 Closed 1 2015001 SSO 7/17/2014 Vini Ramsay 973 Hawthorne Dr. Walnut Creek 2014025 GL $ 296.80 ServiceMaster $ 296.80 Closed 2 2015002 SSO 7/22/2014 Bruce Moen 912 Hawthorne Dr. Walnut Creek So Cal Resident Danville $ $ 3,578.64 ServiceMaster $ 3,578.64 Closed 3 2015003 SSO 8/11/2014 Round Hill Country Club 3169 Round Hill Rd. Alamo $ Inactive $ 189.75 Round Hill Country C $ 189.75 Open 4 2015005 SSO 8/25/2014 Hillside Apts. 25 El Mirador Walnut Creek $ 5,000.00 $ 6,277.98 ServiceMaster $ 11,277.98 Open 5 2015007 SSO 8/12/14 LifeGate Church 535 Walnut Ave. Walnut Creek $ 500.00 $ 500.00 Closed 6 2015008 SSO 7/7 & 8/18/14 John & Mary Kelly 450 Muller Rd. Walnut Creek $ - $ 238.00 Claimant $ 238.00 Open 7 2015009 SSO 9/5/2014 Kidz Planet 2245 Morello Ave. Pleasant Hill $ 20,000.00 $ 20,000.00 LIABILITY INCIDENTS - OTHER 2014041 GL 5/20/2014 Total - OF /PR $ 98,500.00 $ 105581.17 $ 109,081.17 Status # ID# Type DOL Other Party Address City Reserve Paid to Date Paid to Incident Total $ 13,425.00 Claimant $ 13,425.00 Open 2 2015006 GL 8/27/2014 Jim Haman 1017 Hacienda Dr. Walnut Creek $ 1,000.00 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 10/12/2013 Gilbert Enriquez So Cal Resident Danville $ $ $ Open E 2014028 GL 10/12/2013 Stacie Enriquez 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 5/20/2014 Mark DeBaca 1140 Vallecito Cf. Lafayette $ $ Denied $ - Closed 1 2015004 GL 7/18/2014 RCR Property Mgt. 928 Main Street Martinez $ - $ 13,425.00 Claimant $ 13,425.00 Open 2 2015006 GL 8/27/2014 Jim Haman 1017 Hacienda Dr. Walnut Creek $ 1,000.00 PD Reserve $ 2,664.63 ServiceMaster $ 785.00 Roto Rooter $ 4,449.63 Total - Liab. $ 21,000.00 $ 34,273.63 $ 55,273.63 PROPERTY INCIDENTS Status # ID# Loss DOL Other Party Address City Reserve Paid to Date Paid to Incident Total Total - Prop. $ - $ - 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 Total - Auto $ 5,000.00 $ - $ 5,000.00 Note: Prior fiscal year closed claims have been removed from report. 911012014