HomeMy WebLinkAbout05.b. Loss Control ReportStatus
#
ID#
CCCSD 2015 -16 Loss Control Report
DOL Other Party
Address
City
Reserve
Paid to Date
Paid to
New Incident
Prior Fiscal
Year Incident
Ongoing Incident
Litigated Matter
A
2014018
GL
12/5/2013 Bob Burke
1067 Glen Rd.
Lafayette
$ 20,000.00
$ 17,399.00
OVERFLOWS AND PLUMBING REIMBURSEMENTS
S 37,399.00
Inactive
B
2014035
GL
7/13/2013 City of Lafayette
4120 Happy Valley Rd.
Lafayette
Status
# ID# Loss
DOL Other Party
Address
City
Reserve
Paid to Date
Paid to
Incident
Total
Orinda
Type
Claimant
Open
1 2016001 SSO
9/10/2015 Tom Trachuk
160 Rudgear Dr.
Walnut Creek
$ 500.00
$ 1,077.87
Restoration Mgt
$
1,577.87
Closed
2 2016002 SSO
9/2/2015 Homeowner
325 Maureen Ln
Pleasant Hill
$ -
$ 349.57
Roto Rooter
$
349.57
Closed
3 2016005 SSO
7/17/2015 Don Minor
261 Walnut Avenue
Walnut Creek
$
$ 200.00
Claimant
$
200.00
Closed
4 2016006 SSO
9/2/2015 Jill Rhines
60 Norlyn Drive
Walnut Creek
$
$ 467.00
Claimant
$
467.00
$ 2,275.00
JAMS
Total - SSO
$ 500.00
$ 2,094.44
GL
$
2,594.44
Orinda
LIABILITY INCIDENTS - OTHER
$ 2,000.00
Claimant
Closed
2015034
GL
11/7/2014 EBMUD
Status
#
ID#
Type
DOL Other Party
Address
City
Reserve
Paid to Date
Paid to
Incident Total
Inactive
A
2014018
GL
12/5/2013 Bob Burke
1067 Glen Rd.
Lafayette
$ 20,000.00
$ 17,399.00
Claimant
S 37,399.00
Inactive
B
2014035
GL
7/13/2013 City of Lafayette
4120 Happy Valley Rd.
Lafayette
$ -
$ -
$ -
Open
5
2015015
GL
111712014 Kim Vogel
69 La Espiral
Orinda
$ 235,000.00
Claimant
$ 124,499.31
ServiceMaster
$ 21,147.43
Consulting
$ 158.62
Fed Ex
$ (116,973.49)
Travelers' Contribution
$ 2,275.00
JAMS
Closed
2015016
GL
11/7/2014 Rick Baie
50 La Espiral
Orinda
$ 2,000.00
Claimant
Closed
2015034
GL
11/7/2014 EBMUD
39 Los Dedos
Orinda
$ 7,153.56
EBMUD
Open
$ 96,073.93
Outstanding /Oher Expenses
Open
$ 628,665.64
Balance to SIR
S 1,000,000.00
Closed
1
201_60_03
GIL
7/8/2015 Dennis Wanken
30 Echo Hill Lane
Moraga
$ -
$ 125.00
Closed
2
2016004
GL
9/24/2015 Steven Cloyes
9 Ronda Ct.
Walnut Creek
$ -
$ -
$ -
Closed
3
2016007
GL
1017/2015 Shirley Nedham
13 Carmen Court
Orinda
$ -
$ 1,602.00
Claimant
$ 1,602.00
Total - Liab
$ 744,739.57
$ 294,386.43
$ 1,039,126.00
PROPERTY INCIDENTS
Status # ID# Loss DOL Other Pa Address Cit Reserve Paid to Date Paid to Incident Total
T,— Party Y
Total - Prop. $ $
AUTO INCIDENTS
S -
Status # ID# Type DOL Other Party Location Veh# Reserve Paid to Date Paid to Incident Total
Open 1 2016008 GL 7/15/2015 unknown unknown 280 $ 1,016.72
Total - Auto $ 1,016.72 $ $ 1,016.72
Note: Prior fiscal year closed claims have been removed from report. 11/18/2015