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Home My WebLink About05. Loss Control Report CCCSD 2016-17 Loss Control Report 50 New Incident I Ongoing Incident Prior Fiscal Year Incident Litigated OVERFLOWS Status # ID# Loss DOL Other Party Address City Reserve Paid to Date Paid to Incident Total Type Inactive 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 SSO 712412016 Jennifer Luina 14 White Oak Dr. Lafayette $ - $ 1,051.85 Service-Master $ 108.00 Claimant - $ 3.63 Home Depot $ 1,163.48 Closed 2 2017008 SSO 10/11/2016 Ita Perez 771 Grayson Rd, P.Hill $ $ 4,831.99 Restoration Mgt $ 330-00 Roto Rooter $ 5,161.99 Closed 3 2017011 SSO 1/2412017 Reed Johnson 1914 Westover P.Hill $ 4,697.08 Claimant $ 13,419.16 Hyatt House $ (18,116.24) CCCSD $ - Closed 4 2017012 SSO 2/3/2017 Les Schwab Tires 3800 Alhambra Martinez $ $ 1,268-72 ServiceMaster $ 1,268.72 Closed 5 2017013 -SSO 2/7/2017 Gil Rodriguez 1076 Rahada Dr, Lafayette $ $ 3,523.44 ServiceMaster $ 3,523.44 Closed 6 2017015 SSO 212212017 Matz/Hayes Augustine/Glenside Lafayette $ $ 2,896.49 ServiceMaster $ 2,896.49 Closed 7 2017019 SS-0 3/14/2017 Homeowner 7 El Campanero Orinda $ $ 2,321-92 RMC $ 2,321.92 Open 8 2017020 SSO 413/2017 Joey Toubba 25 Hacienda Cir Orinda $ 75,000.00 $ - $ 75,000.00 Total-SSO $ 77,500.00 $ 19,959.42 $ 97,459.42 PLUMBING REIMBURSEMENTS Status # ID# Loss DOL Other Party Address Ty2e city Reserve Paid to Date Paid to Incident Tota I Closed 1 2017005 PL 8/19/2016 David Wallenstein 2313 Apex Ct. Martinez $ $ 378.75 Claimant $ 378-75 Closed 2 2017007 PL 9/1912016 Sandra Swimmer-Bldg Bridges Preschool Lafayette $ - $ 173-00 Claimant $ 173.00 Closed 3 2017016 PL 12/16,20/17 Teresa L,Patrick 921 Carol Ln. Lafayette $ - $ 270.00 Claimant $ 270.00 Closed 4 2017017 PL 213/2017 Tricia Barnes Orinda $ - $ 727.43 Claimant $ 727.43 Closed 5 2017018 PL 2/27/2017 Moe Delfani 2440 Olympic Blvd. Walnut Creek $ - $ 310.00 Claimant $ 310.00 Total-SSO $0.00 $ 1,859.18 LIABILITY INCIDENTS-OTHER Lo4Z4Z ss Status # ID# Type DOL Other Party Address City Reserve Paid tc Date Paid to Incident Total Closed 1 2017006 GL 6/15/2016 Mark Kress 76 Scenic Drive Orinda $ $ 3,224.01 Claimant $ 3,224.01 Closed 2 2017009 GL 12/16/2016 Catherine McCarger 41 Eucalyptus Ct, Walnut Creek $ $ 732.56 Claimant $ 732.55 Closed 3 2017010 GL 1110120-17 Patti-Turetzky N San Carlos Dr Walnut Creek $ $ 4,351.49 Claimant $ 4,351.49 Inactive 4 2017014 GL 8/01-31/16 Erik-Nelson 246 Kathleen Dr-. Pleasant Hill $ 2,500.00 $ $ 2,500.00 CCCSD 2016-17 Loss Control Report Closed 5 2017021 GL 9112-6116 Kathleen Garoutte 31 Eucalyptus Walnut Creek $ 4,390.00 Claimant $ 4,390.00 Closed 6 2017022 GL 4112/2017 Maria de Conceicao 621 F Street Martinez $ 10,343.10 Claimant $ 10,343.10 Total-Liab $ 2,500.00 $ 23,041.16 $ 25j541-16 PROPERTY INCIDENTS - Status # ID# Loss DOL Other Party Address City Reserve Paid to Date Paid to Incident Total Type Total-Prop. AUTO INCIDENTS Status # IN Loss DOL Other P Te arty Location Veh# Reserve Paid to Date Paid to Incident Total yp Closed 1 2017001 AL 7/21/2016 Yasmani Gonzalez Civic&N California #244 $ $ 3,298.72 Claimant -- $ 495.93 Enterprise Rent a 3,794-65 Closed 2 2017003 APD 7/12/2016 Jay Nightengale Off road-trail #286 $ 1,754.39 $ 1,754.39 Closed 3 2017004 AL 8/1212016 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. 512612017