HomeMy WebLinkAbout08.b. Loss Control ReportCCCSD 2015-16 Loss Control Report
F7 New Incident Ongoing Incident
OVERFLOWS AND PLUMBING REIMBURSEMENTS
Prior Fiscal Year Incident
Litigated
Status
# Oil
Loss
Typ
DOL Other Party
Address
City
Reserve
Paid to Date
.Paid to
Incident Total
Closed
1 2016001
SSO
9/10/2015 Tam Trachuk
160 Rudgear Dr.
Walnut Creek
$
$ 1077.87
Restoration Mgt
$
1077.87
Closed
2 2016002
SSO
9/2/2015 Homeowner
325 Maureen Ln
Pleasant Hill
$ -
$ 349.57
Rota 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 Nodyn Drive
Walnut Creek
$ -
$ 467.00
Claimant
$
467.00
Closed
5 2016009
SSO
11/4/2015 Keith Brown
48 Carlos Court
Walnut Creek
$ -
$ 70.00
Claimant
$
70.00
Open
6 2016010
SSO
11/20/2015 Carlos Gonzalez
11 Adak Cl
Walnut Creek
Total- SSO
$ 65,000.00
$ 65,000.00
$ 665.97
$ 2,830.41
Marriott Hotel
$
$
65,665.97
67,830.41
LIABILITY INCIDENTS - OTHER
Status
#
ID#
Loss
DOL Other Party
Address
City
Reserve
Paid to Date
Paid to
Incident Total
Type
Inactive
A
2014018
GL
12/5/2013 Bob Burke
1067 Glen Rd.
Lafayette
$ 20,000.00
$ 17,399.0.0
Claimant
$ 37,399.00
Inactive
B
2014035
GL
7/13/2013 City of Lafayette
4120 Happy Valley Rd.
Lafayette
$ -
$
DOL Other Party
$
Open
5
2015015
GL
11/7/2014 Kim Vogel
69 La Espiral
Odnda
$ 255,000.00
Claimant
Open 1 2016008
APD
7/15/2015 unknown
unknown
#280
$
1952.72
$ 124,499.31
ServiceMaster
AL
11119/2015 Doris Farkus
Rancho Rd, Laf
#288
$
_
51000.00
$ 21,147.43
Consulting
Total - Auto
$
6,952.72 $
$ 6,952.72
Note: Prior fiscal year
closed claims have been removed from report.
$ 158.62
Fed Ex
$ (116,973.49)
Travelers' Contribution
$ 2,275.00
JAMS
Closed
2015016
GL
11f7/2014 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
$ 76,408.78
Outstanding/Oher Expenses
Open
$ 628,330.79
Balance to SIR
$ 1,000,000.00
Closed
1
2016003
GL
7/8/2015 Dennis Wanken
30 Echo Hill Lane
Moraga
$ -
$ 125.00
Claimant
Closed
2
2016004
GL
9/24/2015 Steven Cloyes
9 Ronda Ct
Walnut Creek
$ -
$ -
Claimant
$
Closed
3
2016007
GL
10!712015 Shiley Nedham
13 Carmen Court
Odnda
$ -
$ 1602 00
Claimant
$ 1,602.00
Total - Liab
$ 96,408.78
$ 942,717.22
$ 1,039,126.00
PROPERTY INCIDENTS
Status # ID#
Loss
Type
DOL Other Party
Address
City
Reserve Paid to Date Paid to
Incident Total
Total - Prop.
$
- S
$
AUTO INCIDENTS
Status # ID#
Loss
DOL Other Party
Location
Veh#
Reserve Paid to Date Paid to
Incident Total
Type
Open 1 2016008
APD
7/15/2015 unknown
unknown
#280
$
1952.72
Open 2- 2016001
AL
11119/2015 Doris Farkus
Rancho Rd, Laf
#288
$
_
51000.00
Total - Auto
$
6,952.72 $
$ 6,952.72
Note: Prior fiscal year
closed claims have been removed from report.
12/142015
8.100