HomeMy WebLinkAbout05. Loss Control ReportNew Incident
CCCSD 2016-17 Loss Control Report
I Ongoing Incident
Prior Fiscal Year Incident
Litigated
OVERFLOWS AND PLUMBING REIMBURSEMENTS
Status # IDI Loss DOL Other Party Address City Reserve Paid to Date Paid to Incident Total
Type
Open A 2016013 SSO 1/17/2016 Chubb for Goulart 288 Sherburne Hills Ct. Danville $ - $ $
Open B 2016022 SSO 5/26/2016 Kathleen Smith 58 Diablo Creek Ln. Danville $ 2,500.00 $ 3,623.38 ServiceMaster $ 6,123.38
Closed 1 2017002 SSC, 7/24/2016 Jennifer Luina 14 White Oak Dr. Lafayette $ $ 1,051.85 ServiceMaster
$ 108.00 Claimant
$ 3.63 Home Depot $ 1,163.48
Closed 2 2017005 PL 8/19/2016 David Wallenstein 2313 Apex Ct. Martinez $ - $ 378,75 Claimant $ 378.75
Open 3 2017007 PL 9/19/2016 Sandra Swimmer - Bldg Bridges Preschool Lafayette $ 173.00 Claimant $ 173.00
Open 4 2017008 SSO 10/11/2016 Ita Perez 771 Grayson Rd, P. Hill $ 8,000.00 $ 8,000.00
Total - 550 $ 10,500.00 $ 5,338.61 $ 15,838.61
LIABILITY INCIDENTS - OTHER
Status # IDI/Loss DOL Other Party Address City Reserve Paid to Date Paid to Incident Total
Type
Closed 1 2017006 GL 6/15/2016 Mark Kress 76 Scenic Drive Orinda $ - $ 3,224.01 $ 3,224.01
Total - Liab $ - $ 3,224.01 $ 3,224.01
PROPERTY INCIDENTS
Status # ID#
AUTO INCIDENTS
Loss
Type
Loss
Status # 1D#
Type
Closed 1 2017001 AL
DOL Other Party Address City Reserve Paid to Date Paid to Incident Total
Total - Prop. $
DOL Other Party Location Veh# Reserve Paid to Date Paid to Incident Total
7/21/2016 Yasmani Gonzalez Civic & N California #244 $ - $ 3,298.72 Claimant
$ 495.93 Enterprise Rent a ( $ 3,794.65
Open 2 2017003 APD 7/12/2016 Jay Nightengale Off road - trail
Open C 2016024 AL 6/3/2016 Huan Xuan Lin Locust St., WC
#286 $ 1,754.39 $
#275 $ 5,000.00
$ 1,754.39
$ 5,000.00
Closed 3 2017004 AL 8/12/2016 Hans Banerjee Boulevard Wy WC #210 $ $ 4,267.03 Claimant
$ 323.17 Claimant $ 4,590.20
Total - Auto $ 6,754.39 $ 3,298.72 $ 10,053.11
Note: Prior fiscal year closed claims have been removed from report. 10/17/2016
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