HomeMy WebLinkAbout04. Loss Control ReportNew Incident
CCCSD 2016-17 Loss Control Report
Ongoing Incident
OVERFLOWS AND PLUMBING REIMBURSEMENTS
Loss
Type
Status # ID#
DOL Other Party Address
City
1 Prior Fiscal Year Incident
Reserve Paid to Date Paid to
4.
1 Litigated
Incident Total
Open A 2016013 SSO
Open B 2016022 SSO
1/17/2016 Chubb for Goulart 288 Sherburne Hills Ct. Danville -
5/26/2016 Kathleen Smith 58 Diablo Creek Ln. Danville $ 2,500.00 $ 3,623.38 ServiceMaster
$ 6,123.38
Closed 1 2017002 SSO 7/24/2016 Jennifer Luina 14 White Oak Dr. Lafayette $ $ 1,051.85
$ 108.00
3.63
Closed 2 2017005 Pt 8/19/2016 David Wallenstein 2313 Apex Ct. Martinez $ S 378.75
Open 3 2017007 PL 9/19/2016 Sandra Swimmer - Bldg Bridges Preschool Lafayette $ 173.00
Closed 4 2017008 SSO 10/11/2016 lta Perez 771 Grayson Rd, P. Hill $ 4,831.99
$ 330.00
Total-SSO $ 2,500.00 $ 10,500.60
LIABILITY INCIDENTS - OTHER
Loss
Status # ID#
Type
Closed 1 2017006 GL
DOL Other Party
6/15/2016 Mark Kress
Address
76 Scenic Drive
PROPERTY INCIDENTS
Status # ID# Lass DOL Other Party Address
Type
AUTO INCIDENTS
Status #
ID#
Loss
Type
Closed 1 2017001 AL 7/21/2016 Yasmani Gonzalez Civic & N California #244 $ $ 3,298.72
$ 495.93
Open 2 2017003 APD 7/1212016 Jay Nightengale Off road - trail #286 $ 1,754.39 $
Closed 3 2017004 AL 8/12/2016 Hans Banerjee Boulevard Wy WC #210 $ $ 4,267.03 Claimant
$ 323.17 Claimant
Total - Auto $ 1,754.39 $ 8,384.85
DOL Other Party Location
ServiceMaster
Claimant
Home Depot
Claimant
Claimant
Restoration Mgt
Roto Rooter
City Reserve Paid to Date Paid to
Orinda $ 3,224.01
Total - Liab $ $ 3,224.01
City Reserve Paid to Date
Total - Prop. $
Veh#
Paid to
Reserve Paid to Date Paid to
$ 1,163.48
$ 378.75
$ 173.00
$ 5,161.99
$ 13,000.60
Incident Total
$ 3,224.01
$ 3,224.01
Incident Total
$
Incident Total
Claimant
Enterprise Rent a ( $ 3,794.65
$ 1,754.39
Note: Prior fiscal year closed claims have been removed from report.
$ 4,590.20
$ 10,139.24
11114/2016