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05. Loss Control Report
5■ CCCSD 2016-17 Loss Control Report New Incident Ongoing Incident Prior Fiscal Year Incident Litigated OVERFLOWS Status # ID# Loss DOL Other Part T e y Addr d ess City Reserve Paid to Date Paid to Incident Total Inactive B 2016022 SSO 5/2612016 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 ServiceMaster $ 108.00 Claimant $ 3.63 Home Depot $ 1,163.48 Closed 2 2017008 SSO 10111/2016 Ita Perez 771 Grayson Rd, P.Hill $ - $ 4,831.99 Restoration Mgt $ 330.00 Roto Rooter $ 5,161.99 Open 3 2017011 SSO 1/24/2017 Reed Johnson 1914 Westover P.Hill $ (5,792.75) $ 4,697.08 Claimant $ 13,419.16 Hyatt House Initial recovery from CT's insurer $ (12,323.49) CCCSD $ - Closed 4 2017012 SSO 21312017 Les Schwab 3800 Alhambra Martinez $ - $ 1,268.72 ServiceMaster $ 1,268.72 Closed 5 2017013 SSO 21712017 Gil Rodriguez 1076 Rahada Dr. Lafayette $ - $ 3,523.44 ServiceMaster $ 3,523,44 Closed 6 2017015 SSO 2122/2017 Matz/Hayes Aug ustine/Glens ide Lafayette $ - $ 2,896.49 ServiceMaster $ 2,896.49 Closed 7 2017018 SSO 3/14/2017 Homeowner 7 EI Campanero Orinda $ - $ 2,321.92 RMC $ 2,321.92 Open 8 2017019 SSO 4/3/2017 Joey Toubba 25 Hacienda Cir Orinda $ 75,000.00 $ - $ 75,000.00 Total-SSO $ 71,707.25 $ 25,752.17 $ 97,459.42 PLUMBING REIMBURSEMENTS Status # ID# Loss DOL Other Part Type y Address city Reserve Paid to Date Paid to Incident Total Closed 1 2017005 PL 8/19/2016 David Wallenstein 2313 Apex Ct. Martinez $ - $ 378.75 Claimant $ 378.75 Closed 2 2017007 PL 9/19/2016 Sandra Swimmer-Bldg Bridges Preschool Lafayette $ - $ 173.00 Claimant $ 173.00 Closed 3 2017016 PL 12/16&12120/17 Teresa L.Patrick 921.Carol Ln. Lafayette $ - $ 270.00 Claimant $ 270.00 Closed 4 2017117 PL 2/27/2017 Moe Delfani 2440 Olympic Blvd. Walnut Creek $ - $ 310.00 Claimant $ 310.00 Total-SSO $0.00 $ 1,131.75 LIABILITY INCIDENTS-OTHER Status # ID# LossType DOL Other Party Address City Reserve Paid to Date Paid to Incident Total Closed 1 2017006 GL 611512016 Mark Kress 76 Scenic Drive Orinda $ - $ 3,224.01 $ 3,224.01 Closed 2 2017009 GL 12/16/2016 Catherine McCarger 41 Eucalyptus Ct, Walnut Creek $ - $ 732.56 $ 732.56 Closed 3 2017010 GL 1/10/2017 Patti Turetzky N San Carlos Dr Walnut Creek $ - $ 4,351.49 $ 4,351.49 Inactive 4 2017014 GL 8101-31116 Erik Nelson 246 Kathleen Dr. Pleasant Hill $ 2,500.00 $ - $ 2,500.00 Total-Liab $ 2,500.00 $ 8,308.06 $ 10,808.06 CCCSD 2016-17 Loss Control Report PROPERTY INCIDENTS Status # IN Loss DOL Other Party Address City Reserve Paid to Date Paid to Incident Total Total-Prop. AUTO INCIDENTS Status # ID# Loss DOL Other P T e arty Location Veh# Reserve Pard to Date Pard to Incident Total Closed 1 2017001 AL 7/2112016 Yasmani Gonzalez Civic&N California #244 $ - $ 3,298.72 Claimant $ 495.93 Enterprise Rent a{ $ 3,794.65 Closed 2 2017003 APD 711212016 Jay Nightengale Off road-trail #286 $ 1,754.39 $ 1,754.39 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 $ - $ 10,139.24 $ 10,139.24 Note: Prior fiscal year closed claims have been removed from report. 411912017