HomeMy WebLinkAbout03. Loss Control ReportNew Incident
CCCSD 2015-16 Loss Control Report
Ongoing Incident
OVERFLOWS AND PLUMBING REIMBURSEMENTS
Loss
Type
1 2016001 SSO 9/10/2015 Tom Trachuk
Status
Closed
Closed
Closed
Closed
Closed
Closed
ID#
DOL
Other Party
2
3
4
5
6
2016002 SSO 9/2/2015
2016005 PL 7/17/2015
2016006 PL 9/2/2015
2016009 PL 11/4/2015
2016010 SSO 1120'2015
Address
160 Rudgear Dr.
Homeowner
Don Minor
Jill Rhines
Keith Brown
Carlos Gonzalez
325 Maureen Ln
261 Walnut Avenue
60 Norlyn Drive
48 Carlos Court
11 Adak Ct
I Prior Fiscal Year Incident
City
Walnut Creek $
Pleasant Hill $
Walnut Creek $
Walnut Creek $
Walnut Creek $
Litigated
Reserve Paid to Date Paid to incident Total
Walnut Creek $
$ 1,077.87
$ 341.55
$ 349.57
$ 200.00
$ 467.00
$ 70.00
$ 829.93
$ 25,790.49
$ 46,000.00
$ 340.34
Restoration Mgt
Claimant $ 1,419.42
Roto Rooter $ 349.57
Claimant $ 200.00
Claimant $ 467.00
Claimant $ 70.00
Marriott Hotel
ServiceMaster
Claimant
Claimant
Open 7 2016012 SSO 1.12/2016 Bob Benjamin 85 Lombardy Ln Orinda $ 7,500.00
$ 220.00 Claimant
Open 8 2016013 SSO 1/17/2016 Tony Goulart 288 Sherburne Hills Ct. Danville $ 50,000.00 $
Closed 9 2016014 SSO 1/4/2016 Peter & Grace Hartds26 Meadow Park Court Orinda $ - $ 1,369.66 Claimant
LIABILITY INCIDENTS - OTHER
Loss
Type
Status # ID#
DOL Other Party
Address
Total - SSO $ 57,500.00 $ 77,056.41
City
Reserve Paid to Date Paid to
$ 72,960.76
$ 7,720.00
$ 50,000.00
$ 1,369.66
$ 134,556.41
Incident Total
achy
bve
GL 12/5/2013 Bob Burke
7/13/2013 City of Lafayette
1067 Glen Rd.
4120 Happy Valley Rd.
afayett $
Lata ette $
17,399.00 Claimant
_.00
Re -Open
Closed
Closed
Closed
Closed
Closed
C
2
3
4
5
6
2014045 GL
2016003 GL
2016004 GL
2016007 GL
2016011 GL
2016015 GL
10/12/2013
7/8/2015
9/24/2015
10/7/2015
7/25/2015
11/20/2015
City of Danville
Dennis Wanken
Steven Cloyes
Shirley Nedham
EBMUD
Lloyd Johnson
Sycamore Valley Rd
30 Echo Hill Lane
9 Ronda Ct.
13 Carmen Court
216 Camino Sobrante
51 Rudgear Dr.
Danville $
Moraga $
Walnut Creek $
Orinda $
Orinda $
Walnut Creek $
15.000.00 $
$ 125.00 Claimant
$ 15,000.00
$ 125.00
$ Claimant
$ 1,602.00 Claimant
$ 5,173.13 Claimant
$ 2,045.31 Claimant
$ 1,602.00
$ 5,173.13
$ 2,045.31
Total - Liab $ 35,000.00 $ 26,344.44 $ 61,344.44
PROPERTY INCIDENTS
Loss
Type
Status # ID#
AUTO INCIDENTS
CCCSD 2015-16 Loss Control Report
DOL Other Party Address City Reserve Paid to Date Paid to Incident Total
Total - Prop. $ $ $
Status # ID# Loss DOL Other Party Location Veh# Reserve Paid to Date Paid to Incident Total
Type
Closed 1 2016008 APD 7/15/2015 unknown unknown #280 $ _ - $ 1,952.72 Precision P & C $ 1.952.72
Closed 2 2016001 AL 11119/2015 Dons Farkus Rancho Rd, Laf _#288 $ - $ 5,000.00 Claimant $ 5,000.00
Open 3 2016016 APD 2/12/2016 Daniel Frank linger Cyn Rd. #277 $ 5,000.00
Total - Auto $ 5,000.00 $ 6,952.72 $ 11,952.72
Note. Prior fiscal year closed claims have been removed from report. 3/2/2016