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Home My WebLink About09. Loss Control ReportLIABILITY INCIDENTS - OTHER Status # ID# Type DOL CCCSD 2015-16 Loss Control Report Address City Reserve • 1 0 New Incident Incident Total Inactive Ongoing Incident Prior Fiscal Year Incident Litigated OVERFLOWS AND PLUMBING REIMBURSEMENTS Bob Burke 1067 Glen Rd. Lafayette $ 20,000.00 $ 17,399.00 Claimant $ Status # ID# Loss Type DOL Other Party Address City Reserve $ $ Paid to Date Paid to Incident Total $ $ - 125.00 Closed 3 2016004 GL 9/24/2015 Steven Cloyes 9 Ronda Ct. Walnut Creek $ - $ - Claimant Closed 1 2016001 SSO 9/10/2015 Tom Trachuk 160 Rudgear Dr. Walnut Creek $ - $ 1,077.87 Restoration Mgt 1,602.00 Claimant $ 1,602,00— 602 00Closed Closed 5 2016011 GL 7/25/2015 EBMUD 216 Camino Sobrante $ 341.55 Claimant $ 1,419.42 Closed 2 2016002 SSO 9/2/2015 Homeowner 325 Maureen Ln Pleasant Hill $ - $ 349.57 Roto Rooter $ 349.57 Closed 3 2016005 PL 7/17/2015 Don Minor 261 Walnut Avenue Walnut Creek $ - $ 200.00 Claimant $ 200.00 Closed 4 2016006 PL 9/2/2015 Jill Rhines 60 Norlyn Drive Walnut Creek $ - $ 467.00 Claimant $ 467.00 Closed 5 2016009 PL 11/4/2015 Keith Brown 48 Carlos Court Walnut Creek $ - $ 70.00 Claimant $ 70.00 Closed 6 2016010 SSO 11/20/2015 Carlos Gonzalez 11 Adak Ct Walnut Creek $ $ 829.93 Marriott Hotel $ 829.93 $ 25,790.49 ServiceMaster $ 46,000.00 Claimant $ 340.34 Claimant $ 72,960.76 Open 7 2016012 SSO 1/12/2016 Bob Benjamin 85 Lombardy Ln Orinda $ 7,500.00 $ 220.00 Claimant $ 7,720.00 Open 8 2016013 SSO 1/17/2016 Tony Goulart 288 Sherburne Hills Ct. Danville $ 50,000.00 $ 50,000.00 Total - SSO $ 57,500.00 $ 75,686.75 $ 133,186.75 LIABILITY INCIDENTS - OTHER 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 $ 37,399.00 Inactive Closed B 2 2014035 2016003 GL GL 7/13/2013 7/8/2015 City of Lafayette Dennis Wanken 4120 Happy Valley Rd. 30 Echo Hill Lane Lafayette Moraga $ $ - $ - $ - 125.00 Claimant $ $ - 125.00 Closed 3 2016004 GL 9/24/2015 Steven Cloyes 9 Ronda Ct. Walnut Creek $ - $ - Claimant $ Closed 4 2016007 GL 10/7/2015 Shirley Nedham 13 Carmen Court Orinda $ - $ 1,602.00 Claimant $ 1,602,00— 602 00Closed Closed 5 2016011 GL 7/25/2015 EBMUD 216 Camino Sobrante Orinda $ - $ 5,173.13 Claimant $ 517313 Total - Liab $ 20,000.00 $ 24,299.13 $ 44,299.13 CCCSD 2016-16 Loss Control Report PROPERTY INCIDENTS Status # IN Loss DOL Other Party Address City Reserve Paid to Date Paid to Incident Total Tvoe Note: Prior fiscal year closed claims have been removed from report. 2/1/2016 Total- Prop. $ - $ - $ - AUTO INCIDENTS Status # ID# Loss Type DOL Other Party Location Veh# Reserve Paid to Date Paid to Incident Total Closed 1 2016008 APD 7/1512015 unknown unknown #280 $ - $ 195272 Closed 2 2016001 AL 11/19/2015 Doris Farkus Rancho Rd, Lat #288 $ - $ 5,000.00 Claimant $ 5,000.00 Total - Auto $ - $ 6,952.72 $ 6,952.72 Note: Prior fiscal year closed claims have been removed from report. 2/1/2016